IndividualActive
Caley Jordan, PHARMD
NPI 1609245059 · Pharmacist · Plummer, ID
Provider details
- NPI number
- 1609245059
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- P7078 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
427 N 12 St
Plummer, ID 83851
Phone: (208) 686-5081
Approximate (ZIP-level) locationGet directions
Mailing address
427 N 12th St
Plummer, ID 83851
Registry dates
- Enumerated
- 2015-09-16
- Last updated
- 2015-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.