National Provider Identifier
Eric Richard Jordan
Eric Richard Jordan is listed in the NPPES registry with a primary specialty of Pharmacist in Cuba, NY and a listed phone number of (585) 968-3748.
Profile Overview
- NPI
- 1134441454
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- March 01, 2010
- Last Updated
- March 24, 2010
Practice Location
- 2 Center St
- Cuba, NY 14727-1002
Phone: (585) 968-3748
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1134441454
- Entity Type
- Individual
- Last Name
- Jordan
- First Name
- Eric
- Middle Name
- Richard
- Name Prefix
- Mr.
- Mailing Street Address
- 2 Center St
- Mailing City
- Cuba
- Mailing State
- NY
- Mailing ZIP Code
- 14727-1002
- Mailing Country
- US
- Mailing Phone
- (585) 968-3111
- Mailing Fax
- (585) 968-7998
- Practice Street Address
- 2 Center St
- Practice City
- Cuba
- Practice State
- NY
- Practice ZIP Code
- 14727-1002
- Practice Country
- US
- Practice Phone
- (585) 968-3748
- Enumeration Date
- March 01, 2010
- Last Updated
- March 24, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 01146478 (NY)