Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROQUINETHIA A JORDAN
Active Sole ProprietorROQUINETHIA A JORDAN is a Long-Term Care Pharmacy healthcare provider located in LA PORTE, Texas. NPI 1801557590 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · LA PORTE, TX
Registration Details
- NPI Number
- 1801557590
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 4, 2022 (4.587171903862 yrs)
- Last Updated
- Jan 4, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 W FAIRMONT PKWY STE CLA PORTE, TX, 775716314Browse TX providers · Browse ZIP 77571
- Phone
- 8322086779
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
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.