Jordon Wild

Pharmacist · Bloomington, MN

Individual Active NPI

NPI number 1215283049

Practice location

9651 Wyoming Ter S
Bloomington, MN 55438-1606
Phone
(612) 803-8537

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NPI record

NPI
1215283049
Entity type
Individual (Type 1)
Enumeration date
July 30, 2012
Last updated
July 30, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 120970 MN

About Jordon Wild

Jordon Wild is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 9651 Wyoming Ter S, Bloomington, MN 55438-1606. The NPI number 1215283049 was assigned on July 30, 2012 and the record was last updated on July 30, 2012.

Jordon Wild lists a license in the registry: #120970 (MN) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jordon Wild?

The NPI number is 1215283049.

What is the phone number of Jordon Wild?

The phone number listed for the practice location is (612) 803-8537.

Where is Jordon Wild located?

9651 Wyoming Ter S, Bloomington, MN 55438-1606.

What is the taxonomy code for Jordon Wild?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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