Organization
FRONT RANGE FLU SHOTS, LLC
Active
Organization
FRONT RANGE FLU SHOTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILEEN R. NICKEL RN, BSN (PRESIDENT)
(303) 797-3396
Entity
Organization
Contact information
Practice address
7421 S CURTICE CT, LITTLETON, CO 80120-3952
(303) 797-3396
Mailing address
7421 S CURTICE CT, LITTLETON, CO 80120-3952
(303) 797-3396
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00017051
RAILROAD MEDICARE
CO
Enumeration date
01/29/2007
Last updated
11/05/2007
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