Shane Jordan is a Pharmacist based in Lakeland, FL. Shane Jordan practices in Lakeland, FL. The NPI Number for Shane Jordan is 1104145606 and holds a License No. PS45173 (Florida).
The current practice location address for Shane Jordan is 4445 Us Highway 98 N, Lakeland, FL and can be reached out via phone at 863-815-2343.
Location: 4445 Us Highway 98 N, Lakeland, FL, 33810-2069
Provider Profile Details
NPI Number
1104145606
Provider Name
Shane Jordan
Credential
Provider Entity Type
Individual
Gender
Male
Address
4445 Us Highway 98 N, Lakeland, FL, 33810-2069
Phone Number
863-815-2343
Fax Number
Provider Enumeration Date
05/24/2010
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021624100 | 05 | FL |
Provider Business Practice Location Address Details
Address
4445 Us Highway 98 N
City
State
Zip
33809-0402
Phone Number
863-815-2343
Fax Number
Provider Business Mailing Address Details
Address
4445 Us Highway 98 N
City
State
Zip
33809-0402
Phone Number
863-815-2343
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
PS45173 (Florida)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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