Canankamp, Jordan

Canankamp, Jordan is an individual health care provider with primary practice located at 1097 Fledderjohn Rd , Charleston WV 25314. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Ambulatory Care. Pharmacy Service Providers / Ambulatory Care is his primary health care specialty. Canankamp, Jordan can be contacted via phone (304) 345-3627.

Contact Information

Primary practice address
1097 Fledderjohn Rd Charleston WV 25314
Phone: (304) 345-3627
Fax: (304) 346-4440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH-0016706 Oregon
Pharmacy Service Providers / Pharmacist 183500000X 03237491 Ohio
Pharmacy Service Providers / Pharmacist 183500000X RP0010235 West Virginia
Pharmacy Service Providers / Ambulatory Care 1835P2201X RPH-0016706 Oregon

Profile Details

NPI number 1134621261
LBN Legal business name Canankamp, Jordan
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2018
Last updated Aug 8th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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