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Individual

JORDAN WILLIAM SHEFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
140 E MAIN ST, OTHELLO, WA 99344-1040
(509) 488-5256
(509) 488-9939
Mailing address
140 E MAIN STREET, OTHELLO, WA 99344-1040
(509) 488-5256
(509) 488-9939

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60301205
WA

Other

Enumeration date
08/29/2012
Last updated
08/29/2012
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