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NPI Code Detail

MEDICARE: JORDAN DUPREY PHARMD.

MEDICARE: JORDAN DUPREY PHARMD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist1055013-1NY
2183500000XPharmacist22096MD

General Provider Information

NPI Number : 1609184217
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN DUPREY PHARMD.
Provider Business Mailing Address
First Line : 8606 PHILADELPHIA RD
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-3021
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8606 PHILADELPHIA RD
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-3021
Country : US
Telephone Number : 410-238-7705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2010
Last Update Date : 12/07/2022

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Directions to “ JORDAN DUPREY PHARMD.” Practice Location

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