Individual
DR. JENNIFER FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D. , RPH.
Contact information
Practice address
1400 E 104TH AVE, THORNTON, CO 80233-4306
(303) 252-9150
(303) 450-2573
Mailing address
1400 E 104TH AVE, THORNTON, CO 80233-4306
(303) 252-9150
(303) 450-2573
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16818
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16818
COLORADO BOARD OF PHARMACY LICENSE
CO
Enumeration date
02/15/2010
Last updated
02/15/2010
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