Individual
TIFFANY ANN OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1600 COALTON RD, SUPERIOR, CO 80027-4630
(303) 465-3024
(303) 465-3404
Mailing address
15298 W WARREN DR, LAKEWOOD, CO 80228-6431
(219) 241-1264
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019802A
IN
Other
Enumeration date
09/01/2011
Last updated
08/06/2020
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