Most Relevant Information
Provider Data
| NPI Number: | 1003327180 |
| Provider Name: | JORDAN TRYHUBENKO PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P1300X |
| Specialty: | Pharmacist |
| License Number: | 26192 |
Most Important Dates
| Enumeration Date: | 10/17/2017 |
| Last Updated: | 10/17/2017 |
Provider Practice Location
OLD N. CAROLINA HWY 75
BUTNER
NC
27509
Practice Location Phone/Fax
| Phone: | 9195753900 |
| Fax: |
Provider Mailing Location
PO BOX 1600
BUTNER
NC
275094600
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |