Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN RIST, PHARM D
ActiveJORDAN RIST, PHARM D is a Pharmacist Clinician (PhC) healthcare provider located in BEMIDJI, Minnesota. NPI 1184149296 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · BEMIDJI, MN
Registration Details
- NPI Number
- 1184149296
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2017 (9.006857603441 yrs)
- Last Updated
- May 17, 2021
- Licenses
-
PHA-PHA-LIC-35850 (MT)123955 (MN)
Practice Information
- Address
-
2000 PAUL BUNYAN DR NWBEMIDJI, MN, 566015603Browse MN providers · Browse ZIP 56601
- Phone
- 2187516380
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist Clinician (PhC)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.