IndividualActive
Jordan Cottam, PHARMD
NPI 1972998771 · Pharmacotherapy Pharmacist · Phoenix, AZ
Provider details
- NPI number
- 1972998771
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- S015506 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
1515 W Aloe Vera Dr
Phoenix, AZ 85085-9032
Phone: (623) 670-0179
Approximate (ZIP-level) locationGet directions
Mailing address
1515 W Aloe Vera Dr
Phoenix, AZ 85085-9032
Registry dates
- Enumerated
- 2015-03-30
- Last updated
- 2015-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.