Jordan Rae Folkerts PHARM D

NPI 1013264001 - Pharmacist - 183500000X

NPI Details
NPI 1013264001
Gender Female
Enumeration Date 08/08/2012
Last Updated 08/08/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
410 S DEWEY AVE
WAGONER OK, 74467-5500, US
Phone (918) 485-4581
Fax
Business Location
303 W EVANJOY ST
SALINA OK, 74365-2619, US
Phone (479) 461-7405
Fax
Toxanomy
Taxonomy Code 183500000X
License State Oklahoma
License Number 15209
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According to our database, Mrs. Jordan Rae Folkerts PHARM D NPI is 1013264001, taxonomy code is 183500000X and license number is 15209, license state is located at Oklahoma. Jordan Rae Folkerts PHARM D physically located at 410 S Dewey Ave, Wagoner OK, 74467-5500. NPI Number Jordan Rae Folkerts PHARM D has the Individual type.

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1013264001 NPI number is provided on an as is basis without warranty of any kind. 1013264001 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan Rae Folkerts PHARM D are for informational purposes only.