Individual
MR. JORDAN SCOTT RICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1710 1ST ST, ALAMOSA, CO 81101-2302
(719) 589-3633
Mailing address
1710 1ST ST, ALAMOSA, CO 81101-2302
(719) 589-3633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18912
CO
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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