Maswoswe, Jordan Jonathan

Maswoswe, Jordan Jonathan is an sole proprietor health care provider with primary practice located at 16736 Champion Forest Dr , Spring TX 77379-7024. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Suppliers / Durable Medical Equipment & Medical Supplies. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Maswoswe, Jordan Jonathan can be contacted via phone (832) 761-7817.

Contact Information

Primary practice address
16736 Champion Forest Dr Spring TX 77379-7024
Phone: (832) 761-7817
Fax: (832) 761-7821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26589 Texas
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 18577 Massachusetts
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Texas

Profile Details

NPI number 1265605141
LBN Legal business name Maswoswe, Jordan Jonathan
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2008
Last updated Mar 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265605141 NPPES
Texas MEDICAID 156759601

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