Individual
JORDAN K CALIFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3050 W NORTHERN AVE, PUEBLO, CO 81005-2317
(719) 564-0491
Mailing address
102 W 29TH ST, PUEBLO, CO 81008-1002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19217
CO
Other
Enumeration date
11/29/2011
Last updated
09/18/2020
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