Individual
DR. JORDAN LANE PARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D, RPH.
Contact information
Practice address
3137 GRAND AVE, BILLINGS, MT 59102-8134
(406) 652-8359
Mailing address
1230 YALE AVE, BILLINGS, MT 59102-1719
(240) 357-5782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-79470
MT
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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