JORDAN GOFORTH

MONTICELLO, KY
NPI1326649559
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: KY  021449)
Enumeration Date2020-11-04
Last Update Date2020-11-04
Business Address
JORDAN GOFORTH PharmD
978 N MAIN ST
MONTICELLO, KY 42633-1500
Phone number: 606-348-8478
Mailing Address
JORDAN GOFORTH PharmD
406 BOGLE ST
SOMERSET, KY 42503-2840
Phone number: 317-667-2465