NPI 1003184417

Robert Mark Jordan, PHARMD

Practitioner Pharmacist Clinton, MS

Practice location

Address: 204 Highway 80 E, Clinton, MS 39056-4716
Phone: (601) 926-1179
Mailing address: PO Box 398, Flora, MS 39071-0398

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence E09972 (MS)

Other Pharmacist providers in Mississippi →

Ambulatory Care Pharmacist

Pharmacy Service Providers Taxonomy 1835P2201X Licence E-09972 (MS)

Registry record

NPI: 1003184417
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2011
Record last updated: 23 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.