Jordan, Roger Stephen
Jordan, Roger Stephen is an sole proprietor health care provider with primary practice located at 800 Glynn St N , Fayetteville GA 30214-7360. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jordan, Roger Stephen can be contacted via phone (770) 461-1241.Contact Information
Primary practice address
800 Glynn St N
Fayetteville GA 30214-7360
Phone: (770) 461-1241
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 10674 | Georgia |
Profile Details
| NPI number | 1679872840 |
|---|---|
| LBN Legal business name | Jordan, Roger Stephen |
| Credentials | PHARMACIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2011 |
| Last updated | Mar 27th, 2011 - about 14 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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