Jordan, Mary Lynne

Jordan, Mary Lynne is an individual health care provider with primary practice located at 912 W Northwest Hwy , Grapevine TX 76051-5029. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jordan, Mary Lynne can be contacted via phone (817) 310-3072.

Contact Information

Primary practice address
912 W Northwest Hwy Grapevine TX 76051-5029
Phone: (817) 310-3072
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 33964 Texas
Pharmacy Service Providers / Pharmacist 183500000X 0202007539 Virginia

Profile Details

NPI number 1235466202
LBN Legal business name Jordan, Mary Lynne
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2009
Last updated Nov 11th, 2009 - about 16 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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