Individual
DR. JEFFREY ALAN BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1001 E 120TH AVE, T-1372, THORNTON, CO 80233-5711
(303) 280-6273
Mailing address
1001 E 120TH AVE, T-1372, THORNTON, CO 80233-5711
(303) 280-6273
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0019891
CO
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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