Individual
JON ERIC JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 9TH AVE, BRUNSWICK, MD 21716-1828
(301) 834-9715
(301) 834-4414
Mailing address
610 9TH AVE, BRUNSWICK, MD 21716-1828
(301) 834-9715
(301) 834-4414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14229
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119053
NABP
—
01
—
922221
NPI
—
Enumeration date
01/06/2021
Last updated
01/06/2021
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