Individual
JOE KENADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
505 W VICTORY WAY, CRAIG, CO 81625-2929
(970) 824-4449
Mailing address
505 W VICTORY WAY, CRAIG, CO 81625-2929
(970) 824-4449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13505
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13505
COLORADO PHARMACIST LICENSE NUMBER
CO
Enumeration date
04/29/2013
Last updated
04/29/2013
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