Jandora, Jeffrey Stephen

Jandora, Jeffrey Stephen is an sole proprietor health care provider with primary practice located at 5709 Ginseng Way , Prescott AZ 86305-3878. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jandora, Jeffrey Stephen can be contacted via phone (928) 771-2784.

Contact Information

Primary practice address
5709 Ginseng Way Prescott AZ 86305-3878
Fax: (928) 771-2784
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 9297 Arizona
Pharmacy Service Providers / Pharmacist 183500000X PH00011083 Washington
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1093847626
LBN Legal business name Jandora, Jeffrey Stephen
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 18 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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