Jordan Brazeal, PHARM.D

NPI 1568730091 · on the registry since 2011 · sole proprietor

Practice

Address: 4010 S Mulberry St
Pine Bluff, AR 71603
Phone: (870) 541-6044
Fax: (870) 541-7601
Organisation at this address: Univ Of Ark For Med Sciences Dba Ahec Family Practice Center Indep Lab
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 36

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas