Individual
DR. JOHN GLENN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
559 VINCENT ST, 21 AMDS/SGSD - PHARMACY, PETERSON AFB, CO 80914-1540
(719) 556-1166
(866) 867-7926
Mailing address
559 VINCENT ST, 21 AMDS/SGSD - PHARMACY, PETERSON AFB, CO 80914-1540
(719) 556-1166
(866) 867-7926
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17022
CO
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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