Individual
JORDAN WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
711 12TH ST, ASHLAND, KY 41101-2668
(606) 325-8231
Mailing address
3716 BRIARWOOD DR, CATLETTSBURG, KY 41129-9299
(606) 922-9263
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020306
KY
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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