NPI 1013295120

Charles R Jordan, PHARMD

Practitioner Pharmacist Lakewood, CO

Practice location

Address: 13111 W Alameda Pkwy, Lakewood, CO 80228-3108
Phone: (303) 980-9346
Mailing address: 7930 S Poplar Way, Centennial, CO 80112-3117

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 18360 (CO)

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Registry record

NPI: 1013295120
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2011
Record last updated: 25 Jul 2011

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.