Individual
DR. JAKE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
200 ROOD AVE, GRAND JUNCTION, CO 81501-7819
(970) 241-2779
Mailing address
200 ROOD AVE, GRAND JUNCTION, CO 81501-7819
(970) 241-2779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0020881
CO
183500000X
Pharmacist
RPH5815
ND
Other
Enumeration date
08/15/2015
Last updated
08/15/2015
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