Cottam, Jordan

Cottam, Jordan is an sole proprietor health care provider with primary practice located at 1515 W Aloe Vera Dr , Phoenix AZ 85085-9032. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Cottam, Jordan can be contacted via phone (623) 670-0179.

Contact Information

Primary practice address
1515 W Aloe Vera Dr Phoenix AZ 85085-9032
Phone: (623) 670-0179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X S015506 Arizona
Pharmacy Service Providers / Pharmacotherapy 1835P1200X RP00007903 New Mexico

Profile Details

NPI number 1972998771
LBN Legal business name Cottam, Jordan
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2015
Last updated Mar 30th, 2015 - about 11 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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