NPI 1174817902

Jordan Wing, PHARMD

Practitioner Pharmacist Wadsworth, OH

Practice location

Address: 1183 Williams Reserve Blvd, Wadsworth, OH 44281-9314
Phone: (330) 335-2627
Fax: (330) 335-2617
Mailing address: 13480 Boston Rd, Strongsville, OH 44136-8306

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 03230276 (OH)

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Registry record

NPI: 1174817902
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2011
Record last updated: 9 Jun 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.