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Raven Natasha Jordan, PHARMD
Pharmacist in Fayetteville, Georgia
NPI 1679177240

Raven Natasha Jordan is a Pharmacist based in Atlanta, GA. Raven Natasha Jordan practices in Fayetteville, GA and has the professional credentials of PHARMD. The NPI Number for Raven Natasha Jordan is 1679177240 and holds a License No. RPH031159 (Georgia).

The current practice location address for Raven Natasha Jordan is 107 Pavilion Pkwy, Fayetteville, GA and can be reached out via phone at 770-371-1200 and via fax at 678-734-9931.

Location: 107 Pavilion Pkwy, Fayetteville, GA, 30349-1559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679177240
Provider Name
Raven Natasha Jordan
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
107 Pavilion Pkwy, Fayetteville, GA, 30349-1559
Phone Number
770-371-1200
Fax Number
678-734-9931
Provider Enumeration Date
11/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
107 Pavilion Pkwy
City
Fayetteville
State
Georgia
Zip
30214-4098
Phone Number
770-371-1200
Fax Number
678-734-9931
person
Provider Business Mailing Address Details
Address
107 Pavilion Pkwy
City
Fayetteville
State
Georgia
Zip
30214-4098
Phone Number
770-371-1200
Fax Number
678-734-9931
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RPH031159 (Georgia)
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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