Individual
JAIRO JOBANIE ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1914 CHESTNUT PL, DENVER, CO 80202
(303) 678-2434
Mailing address
1017 S FRASER WAY, AURORA, CO 80012-3794
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24872
CO
Other
Enumeration date
08/09/2024
Last updated
08/11/2024
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