Individual provider · Type 1 NPI

Jordan Michael Pelton, PharmD

Pharmacist · Fort Wayne, IN

NPI number 1366069379 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Mailing address

9601 Fenwick Ln
New Haven, IN 46774-1667

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302042475 (MI)

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 1366069379

Jordan Michael Pelton, PharmD's National Provider Identifier is 1366069379, issued on Jun 25, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 25, 2020.