Individual
DR. MIRANDA LOHRENZ JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1481 W 10TH ST # 119, INDIANAPOLIS, IN 46202-2803
(317) 988-9328
Mailing address
1481 W 10TH ST # 119, INDIANAPOLIS, IN 46202-2803
(317) 988-9328
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P13008
MS
183500000X
Pharmacist
PD12372
AR
Other
Enumeration date
08/16/2013
Last updated
08/21/2014
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