Individual provider · Type 1 NPI

William Jordan, PharmD

Pharmacist · Chubbuck, ID

NPI number 1275940462 Active

Practice location

4240 Yellowstone Ave
Chubbuck, ID 83202-2420

Call (208) 237-5091 Map

Fax (208) 237-6897

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP6398 (ID)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1275940462

William Jordan, PharmD's National Provider Identifier is 1275940462, issued on Jul 19, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Chubbuck, ID. The record was last updated on Jul 19, 2014.