JORDAN VIDAL

WHITERIVER, AZ
NPI1326715988
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CT  PCT.0015611)
Enumeration Date2021-08-23
Last Update Date2021-08-23
Business Address
JORDAN VIDAL
200 W HOSPITAL DRIVE
WHITERIVER, AZ 85941
Phone number: 928-338-4911
Mailing Address
JORDAN VIDAL
17 SHERWOOD LN
SHELTON, CT 06484-1944
Phone number:
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