Individual
JORDAN ANDREW MASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5621 WILLOW GROVE DR, TROY, MI 48085-6104
(248) 840-5940
Mailing address
5621 WILLOW GROVE DR, TROY, MI 48085-6104
(248) 840-5940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040278
MI
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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