Individual
JENNIFER CORNELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
850 CASTLE VALLEY BLVD, NEW CASTLE, CO 81647-9441
(970) 984-2067
(970) 984-2103
Mailing address
850 CASTLE VALLEY BLVD, NEW CASTLE, CO 81647-9441
(970) 984-2067
(970) 984-2103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17210
CO
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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