Individual
JOEL DESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHA
Contact information
Practice address
16601 E CENTRETECH PKWY, AURORA, CO 80011-9045
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
69269
CA
183500000X
Pharmacist
Primary
PHA.0021631
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029566
KAISER COMMERCIAL NUMBER
CO
05
—
14653567
—
CO
Enumeration date
06/04/2016
Last updated
06/03/2024
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