Individual
JENNIFER ANN MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
624 W HIGHWAY 105, MONUMENT, CO 80132-9169
(719) 488-1189
Mailing address
624 W HIGHWAY 105, MONUMENT, CO 80132-9169
(719) 488-1189
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19631
CO
Other
Enumeration date
02/06/2013
Last updated
01/02/2019
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