Individual
DR. LISA VAUGHAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
325 FOLLY RD, CHARLESTON, SC 29412-2507
(843) 795-7956
Mailing address
325 FOLLY RD, CHARLESTON, SC 29412-2507
(843) 795-7956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11889
SC
Other
Enumeration date
01/02/2011
Last updated
01/02/2011
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