Brazeal, Jordan Lynn
Brazeal, Jordan Lynn is an sole proprietor health care provider with primary practice located at 4010 S Mulberry St , Pine Bluff AR 71603-7000. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brazeal, Jordan Lynn can be contacted via phone (870) 541-6044.Contact Information
Primary practice address
4010 S Mulberry St
Pine Bluff AR 71603-7000
Phone: (870) 541-6044
Fax: (870) 541-7601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PD11871 | Arkansas |
Profile Details
| NPI number | 1568730091 |
|---|---|
| LBN Legal business name | Brazeal, Jordan Lynn |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2011 |
| Last updated | Jan 17th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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