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Jordan Luke Ellstrom, PHARMD
Pharmacist in Winslow, Arizona
NPI 1598281172

Jordan Luke Ellstrom is a Pharmacist based in Winslow, AZ. Jordan Luke Ellstrom practices in Winslow, AZ and has the professional credentials of PHARMD. The NPI Number for Jordan Luke Ellstrom is 1598281172 and holds a License No. 022691 (Arizona).

The current practice location address for Jordan Luke Ellstrom is 500 Indiana Ave, Winslow, AZ and can be reached out via phone at 928-289-4646 and via fax at 928-289-6293.

Location: 500 Indiana Ave, Winslow, AZ, 86047-2169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598281172
Provider Name
Jordan Luke Ellstrom
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
500 Indiana Ave, Winslow, AZ, 86047-2169
Phone Number
928-289-4646
Fax Number
928-289-6293
Provider Enumeration Date
08/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Indiana Ave
City
Winslow
State
Arizona
Zip
86047-2169
Phone Number
928-289-4646
Fax Number
928-289-6293
person
Provider Business Mailing Address Details
Address
500 Indiana Ave
City
Winslow
State
Arizona
Zip
86047-2169
Phone Number
928-289-4646
Fax Number
928-289-6293
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
022691 (Arizona)
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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