Individual
MRS. ALLEN HUGH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
210 S JACKSON ST, GROVE HILL, AL 36451-3232
(251) 275-1000
(251) 275-1003
Mailing address
PO BOX 69, GROVE HILL, AL 36451-0069
(251) 275-1000
(251) 275-1003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12858
AL
Other
Enumeration date
01/25/2007
Last updated
10/14/2009
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