JORDAN SOUTHALL

CENTENNIAL, CO
NPI1801675624
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CO  PHA.0024593)
Enumeration Date2023-09-22
Last Update Date2023-09-22
Business Address
JORDAN SOUTHALL PharmD
8959 E DRY CREEK RD
CENTENNIAL, CO 80112-2765
Phone number: 720-214-1172
Mailing Address
JORDAN SOUTHALL PharmD
3239 S PARKER RD APT 201A
DENVER, CO 80014-3211
Phone number: 303-810-6767
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