ROGER STEPHEN JORDAN

FAYETTEVILLE, GA
NPI1679872840
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  10674)
Enumeration Date2011-03-27
Last Update Date2011-03-27
Business Address
-- ROGER STEPHEN JORDAN Pharmacist
800 GLYNN ST N
FAYETTEVILLE, GA 30214-7360
Phone number: 770-461-1241
Mailing Address
-- ROGER STEPHEN JORDAN Pharmacist
800 GLYNN ST N
FAYETTEVILLE, GA 30214-7360
Phone number: 770-461-1241