IndividualActive
Jordan Warren
NPI 1184397192 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Haughton, LA
Provider details
- NPI number
- 1184397192
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PST.024964 (LA)
Mailing address
1125 Highway 80
Haughton, LA 71037-9430
Registry dates
- Enumerated
- 2021-07-26
- Last updated
- 2023-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.