Individual
JAMES TANYON REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 E MAIN ST, CORTEZ, CO 81321-3307
(970) 565-6466
Mailing address
508 E MAIN ST, CORTEZ, CO 81321-3307
(970) 545-6466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023038
CO
Other
Enumeration date
08/05/2019
Last updated
10/24/2020
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