Individual
JASON DEBOODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 W DRAKE RD, FORT COLLINS, CO 80526-1486
(970) 484-2843
(970) 490-2774
Mailing address
2160 W DRAKE RD, FORT COLLINS, CO 80526-1486
(970) 484-2843
(970) 490-2774
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17449
CO
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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