Individual
DR. CALEY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
427 N 12 ST, PLUMMER, ID 83851
(208) 686-5081
Mailing address
427 N 12TH ST, PLUMMER, ID 83851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18614
MT
183500000X
Pharmacist
Primary
P7078
ID
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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