Individual
MR. JEFFREY L SUGARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5755 CONSTITUTION AVE, COLORADO SPRINGS, CO 80915-1220
(719) 591-9929
(719) 591-5829
Mailing address
2735 CHARLOTTESVILLE DR, COLORADO SPRINGS, CO 80922-1147
(719) 573-1177
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
14536
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14536
STATE OF COLORADO DORA ACTIVE PHARMACIST LICENSE NO.
CO
Enumeration date
11/15/2011
Last updated
11/15/2011
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