Individual
JORDAN WULZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5720 1ST AVE S, BIRMINGHAM, AL 35212
(205) 380-9455
Mailing address
800 LAKESHORE DR., BIRMINGHAM, AL 35209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18822
AL
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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