Individual
JAEMIRAE BLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4545 E 9TH AVE STE 100, DENVER, CO 80220-3902
(303) 333-4678
Mailing address
1050 S MONACO PKWY UNIT 62, DENVER, CO 80224-1636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0024107
CO
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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