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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JORDAN LYNN BRAZEAL, PHARM.D.

Active Sole Proprietor

Pharmacist · PINE BLUFF, AR

Registration Details

NPI Number
1568730091
Provider Type
Individual
Gender
Male
NPI Issued
Dec 12, 2011 (14.368522712164 yrs)
Last Updated
Jan 17, 2014
License
PD11871 (AR)
Sole Proprietor
Yes

Practice Information

Address
4010 S MULBERRY ST
PINE BLUFF, AR, 716037000
Browse AR providers · Browse ZIP 71603
Phone
8705416044
Fax
8705417601
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in PINE BLUFF, AR

Name Credential NPI
MR. MIKE STOVER PHARM.D 1609862879
THOMAS JORDAN HARPER PHARM D. 1437400371
MS. DELOIS ANN RAZOR RPH 1023358090
CHRISTOPHER BRYAN NAGLE PHARMD 1518208487
DAVID LARRY BYRD PD 1477992733
DR. BRIDGET ANNETTE WILSON PHARM D. 1346689478
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.