Individual
DR. JOHN MICHAEL JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., PH. D.
Contact information
Practice address
221 NE GLEN OAK AVE, 3C INPATIENT PHARMACY, PEORIA, IL 61636-0001
(309) 672-4968
(309) 672-3125
Mailing address
221 NE GLEN OAK AVE, 3C INPATIENT PHARMACY, PEORIA, IL 61636-0001
(309) 672-4968
(309) 672-3125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.031642
IL
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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