Individual
JORDAN AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
949 WILLIAM D FITCH PKWY, COLLEGE STATION, TX 77845-4638
(979) 690-4690
Mailing address
949 WILLIAM D FITCH PKWY, COLLEGE STATION, TX 77845-4638
(504) 439-3615
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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