Individual
JORDON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4544 ENSENADA ST, DENVER, CO 80249-6648
(303) 902-9862
Mailing address
4544 ENSENADA ST, DENVER, CO 80249-6648
(303) 902-9862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0002005158
CO
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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