Individual
DR. JORDAN KIRK TRIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8968
ID
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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