Healthcare Provider Details

I. General information

NPI: 1033088984
Provider Name (Legal Business Name): AUBRIANNA JORDAN ROBERT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AUBRIANNA JORDAN

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8240 W DEER VALLEY RD
PEORIA AZ
85382-2125
US

IV. Provider business mailing address

8240 W DEER VALLEY RD
PEORIA AZ
85382-2125
US

V. Phone/Fax

Practice location:
  • Phone: 623-572-7487
  • Fax:
Mailing address:
  • Phone: 623-572-7487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS027759
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: