Individual
JODI DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 E 120TH AVE, THORNTON, CO 80233-1716
(303) 451-5562
Mailing address
4001 E 120TH AVE, THORNTON, CO 80233-1716
(303) 451-5562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20204
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DONT KNOW
NOT SURE
CO
Enumeration date
06/30/2014
Last updated
06/30/2014
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