National Provider Identifier

Jordan Marie Boardman, PHARMD

Jordan Marie Boardman, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Williamsville, NY and a listed phone number of (716) 907-4161.

NPI 1760890214Williamsville, NYPharmacist

Profile Overview

NPI
1760890214
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
July 29, 2014
Last Updated
July 29, 2014

Practice Location

  • 142 N Long St
  • Williamsville, NY 14221-5314

Phone: (716) 907-4161

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1760890214
Entity Type
Individual
Last Name
Boardman
First Name
Jordan
Middle Name
Marie
Credential
PHARMD
Mailing Street Address
142 N Long St
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5314
Mailing Country
US
Mailing Phone
(716) 907-4161
Practice Street Address
142 N Long St
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5314
Practice Country
US
Practice Phone
(716) 907-4161
Enumeration Date
July 29, 2014
Last Updated
July 29, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)