Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Robertson

Individual provider Pharmacist · NPI 1366043846

Jordan Robertson is a Pharmacist in Cuba, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
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Practice location Address checks out

100 Ozark Dr
Cuba, MO 65453-1664
Phone: (573) 885-2515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2015025631 (MO)

Record details

NPI number1366043846
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 3, 2020
Last updated in NPPESNovember 3, 2020
Certification dateNovember 3, 2020
Mailing address3660 Highway T, Rosebud, MO 63091-1803

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