Organization
ANTHONY L. JORDAN HEALTH CORPORATION
Active
Parent organization
ANTHONY L. JORDAN HEALTH CORPORATION
Other names
Jordan Health Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANTHONY L. JORDAN HEALTH CORPORATION
Authorized official
DR. LINDA L CLARK MD (PRESIDENT/CEO)
(585) 423-2870
Entity
Organization
Contact information
Practice address
82 HOLLAND ST STE 100, ROCHESTER, NY 14605-2131
(585) 719-1932
(585) 719-1958
Mailing address
214C LAKE AVE, ROCHESTER, NY 14608-1208
(585) 784-5918
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040614
STATE LICENSE
NY
Enumeration date
10/12/2023
Last updated
07/29/2024
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