JORDAN TRUSTY
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1578121125- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 5165 MCCARTY LN, LAFAYETTE, IN, 479058764
- Phone
- (765) 414-7662
Specialties & Taxonomies
Pharmacy Technician
Primary License: IN #67021924A
All Addresses
MAILING
5165 MCCARTY LN
LAFAYETTE, IN, 479058764