Individual
JACQUELINE MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 524-2447
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 524-2447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011407
SC
1835P2201X
Ambulatory Care Pharmacist
011407
SC
Other
Enumeration date
08/21/2010
Last updated
08/05/2025
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