Jordan, Robert Mark

Jordan, Robert Mark is an individual health care provider with primary practice located at 204 Highway 80 E , Clinton MS 39056-4716. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Jordan, Robert Mark can be contacted via phone (601) 926-1179.

Contact Information

Primary practice address
204 Highway 80 E Clinton MS 39056-4716
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X E-09972 Mississippi
Pharmacy Service Providers / Pharmacist 183500000X E09972 Mississippi

Profile Details

NPI number 1003184417
LBN Legal business name Jordan, Robert Mark
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2011
Last updated Mar 23rd, 2023 - about last year

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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