Individual
JESSICA LYNN PU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 CLARK ST, ALAMOSA, CO 81101-2050
(719) 589-9021
Mailing address
4527 NW 36TH TER, GAINESVILLE, FL 32605-5421
(352) 872-8458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA0022566
CO
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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