JORDAN LUKE ELLSTROM

PHOENIX, AZ
NPI1598281172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  022691)
Enumeration Date2017-08-16
Last Update Date2025-08-13
Business Address
JORDAN LUKE ELLSTROM Pharm.D.
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
JORDAN LUKE ELLSTROM Pharm.D.
500 INDIANA AVE
WINSLOW, AZ 86047-2169
Phone number: 928-289-4646
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