Most Relevant Information
Provider Data
| NPI Number: | 1003184417 |
| Provider Name: | ROBERT MARK JORDAN PHARM D |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P2201X |
| Specialty: | Pharmacist |
| License Number: | E-09972 |
Most Important Dates
| Enumeration Date: | 12/13/2011 |
| Last Updated: | 03/23/2023 |
Provider Practice Location
204 HIGHWAY 80 E
CLINTON
MS
390564716
Practice Location Phone/Fax
| Phone: | 6019261179 |
| Fax: |
Provider Mailing Location
PO BOX 398
FLORA
MS
390710398
Provider Mailing Phone/Fax
| Phone: | 6016652299 |
| Fax: |