Individual
JENNIFER BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 MAIN ST, ALAMOSA, CO 81101-2395
(719) 589-3165
(719) 589-3270
Mailing address
PO BOX 814, MANASSA, CO 81141-0814
(719) 298-8495
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023377
CO
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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