Individual
ADAM JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
513 BARNES AVE, ALVA, OK 73717-2288
(580) 327-3332
(580) 327-1848
Mailing address
PO BOX 62, ALVA, OK 73717-0062
(580) 732-0311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11105
OK
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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