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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