Individual
JADE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 564-2190
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0022096
CO
Other
Enumeration date
11/18/2018
Last updated
11/18/2018
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