Individual
KAYLA A JORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
(540) 283-2552
(540) 283-2544
Mailing address
5060 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2038
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214133
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202214133
VIRGINIA BOARD OF PHARMACY
VA
Enumeration date
10/19/2020
Last updated
04/27/2026
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