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Contact Information

JORDAN L BRAZEAL, PHARM.D.
4010 S MULBERRY ST
PINE BLUFF, AR71603-7000
 Phone: 870-541-6044
 Fax: 870-541-7601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JORDAN L BRAZEAL · (Male)

NPI Number 1568730091
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 12/12/2011
Last updated 01/17/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # PD11871
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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