Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARL RICHARD JORDAN, R.PH.
Active Sole ProprietorPharmacist · EAST PEORIA, IL
Registration Details
- NPI Number
- 1356460752
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2007 (19.1073653239 yrs)
- Last Updated
- Jul 8, 2007
- License
-
051027221 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
302 HARBOR POINTE DREAST PEORIA, IL, 616115802Browse IL providers · Browse ZIP 61611
- Phone
- 3096981050
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in EAST PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. BRONDA ANNE BROY ROBY | RPH | 1528288685 |
| SARA SABRY FOUAD RIZK | — | 1326288390 |
| ANNE MARIE BLUE | PHARMD | 1063795482 |
| DR. MICHAEL JOSEPH KIES | PHARMD | 1699059295 |
| DR. SARAH WHITE | PHARMD | 1306121256 |
| MRS. ANNA LISA FISHER | R.PH. | 1376828285 |
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.