Individual provider · Type 1 NPI

Jordan Anderson, RPH

Pharmacist · O Fallon, MO

NPI number 1407631617 Active

Practice location

3029 Highway K
O Fallon, MO 63368-8696

Mailing address

1535 Oak Forest Spur Dr Apt B
St. Louis, MO 63146-1957

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2023032596 (MO)

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 1407631617

Jordan Anderson, RPH's National Provider Identifier is 1407631617, issued on Aug 28, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in O Fallon, MO. The record was last updated on Sep 1, 2023.