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Individual

JASON SCOTT WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3247 23RD AVE, EVANS, CO 80620-1733
(970) 330-5739
(970) 330-6050
Mailing address
2314 76TH AVENUE CT, GREELEY, CO 80634-7410
(307) 760-8497

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16927
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16927
COLORADO STATE BOARD OF PHARMACY
CO
Enumeration date
04/15/2019
Last updated
04/15/2019
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