Individual
JORDAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 E CLOUD ST, SALINA, KS 67401-6401
(785) 452-3951
Mailing address
417 S MORSE DR, PHILLIPSBURG, KS 67661-2816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15915
KS
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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