Individual
JACLYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1821 E BRIDGE ST, BRIGHTON, CO 80601-1935
(720) 685-3099
Mailing address
1821 E BRIDGE ST, BRIGHTON, CO 80601-1935
(720) 685-3099
(720) 685-3075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21922
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA.0021922
PHARMACIST LICENSE
CO
Enumeration date
08/30/2017
Last updated
08/30/2017
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