Individual
JORDAN DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 681-2241
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
27222
NC
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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