Individual
JORDAN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 526-4652
Mailing address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
025238
KY
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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