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Individual

JENNIFER D WOOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3105 E HWY 50, CANON CITY, CO 81212-2797
(719) 275-1641
Mailing address
3105 E HWY 50, CANON CITY, CO 81212-2788
(719) 275-1641
(719) 275-1643

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20181
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20181
COLORADO PHARMACY BOARD
CO
Enumeration date
05/10/2019
Last updated
05/10/2019
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