Individual
DONTERIUS JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
15255 MAX LEGGETT PKWY, JACKSONVILLE, FL 32218-7273
(904) 244-0411
Mailing address
15255 MAX LEGGETT PKWY, JACKSONVILLE, FL 32218-7273
(662) 418-3065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS60623
FL
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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