Individual
DR. JORDAN JONATHAN GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
50 ERNEST BARRETT PKWY STE 1000, MARIETTA, GA 30066-3344
(770) 419-4043
Mailing address
588 JACKSON RIDGE DR NW, KENNESAW, GA 30144-3147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034943
GA
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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