Individual
AUDREY TOMJACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 227-4135
Mailing address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 227-4135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18737
CO
Other
Enumeration date
09/27/2011
Last updated
03/13/2015
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