JORDAN TRUSTY

LAFAYETTE, IN
NPI1578121125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: IN  67021924A)
Enumeration Date2019-05-30
Last Update Date2019-10-14
Business Address
JORDAN TRUSTY
5165 MCCARTY LN
LAFAYETTE, IN 47905-8764
Phone number: 765-414-7662
Mailing Address
JORDAN TRUSTY
5165 MCCARTY LN
LAFAYETTE, IN 47905-8764
Phone number: