| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JORDAN A DIMOCK | 1538786769 | 2020-07-03 |
Jordan A Dimock is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538786769. Registration indicates Jordan A Dimock is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Dr. Jordan A Dimock PHARMD |
| Practice Office Address | 2401 SUNSET BLVD WEST COLUMBIA, SC US |
| Practice Office Telephone | 8037968126 |
| Mailing Address | 105 AMBERWOOD CIR IRMO, SC 290637943 US |
| Business Telephone | 8035283054 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 42496
SC |