Individual
MRS. PENNY ELLEN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
5006 HIGHWAY 49 S, HARRISBURG, NC 28075-8465
(704) 454-7948
(704) 455-8457
Mailing address
1220 BLACKSTONE CT NW, CONCORD, NC 28027-9071
(704) 723-9423
(704) 723-9486
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
01985
NC
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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