Individual
JAMESON MOON PICKERILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
457 W MAIN ST, TRINIDAD, CO 81082-2623
(719) 846-3086
Mailing address
821 S ASH ST, TRINIDAD, CO 81082-3437
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0024942
CO
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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