Individual
RYAN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
1322 E 8TH ST, PUEBLO, CO 81001-3512
(719) 542-4801
Mailing address
1322 E 8TH ST, PUEBLO, CO 81001-3512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20076
CO
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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