Provider Demographics
NPI:1982011839
Name:JORDAN, ASHLEY PERDUE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:PERDUE
Last Name:JORDAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1373 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-8708
Mailing Address - Country:US
Mailing Address - Phone:843-992-9264
Mailing Address - Fax:
Practice Address - Street 1:3621 SAVANNAH HWY
Practice Address - Street 2:
Practice Address - City:JOHNS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-7937
Practice Address - Country:US
Practice Address - Phone:843-571-0615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35386183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist