NPI 1053036343

Jordan T Samorajski

Practitioner Pharmacist New Berlin, WI

Practice location

Address: 13775 W Crawford Dr, New Berlin, WI 53151-5311
Phone: (414) 335-7365

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 21469 (WI)

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Registry record

NPI: 1053036343
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2022
Record last updated: 3 Sep 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.