Individual
MARK JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACY GRADUATE
Contact information
Practice address
5719 US 23, OSCODA, MI 48750
(989) 739-1485
Mailing address
115 EAST DIVISION AVENUE, OSCODA, MI 48750
(231) 903-9349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302041217
MI
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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