Individual provider · Type 1 NPI

Jordan Southall, PharmD

Pharmacist · Centennial, CO

NPI number 1801675624 Active

Practice location

8959 E Dry Creek Rd
Centennial, CO 80112-2765

Mailing address

3239 S Parker Rd Apt 201A
Denver, CO 80014-3211

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPHA.0024593 (CO)

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 1801675624

Jordan Southall, PharmD's National Provider Identifier is 1801675624, issued on Sep 22, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Centennial, CO. The record was last updated on Sep 22, 2023.