Individual
MS. JENNA MCGINN ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6550 LOOKOUT RD, BOULDER, CO 80301-3303
(303) 530-0400
Mailing address
6550 LOOKOUT RD, BOULDER, CO 80301-3303
(303) 530-0400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14852
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14852
COLORADO STATE BOARD OF PHARMACY
CO
Enumeration date
05/01/2013
Last updated
05/01/2013
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