Individual
JACQUELINE ANNETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2770 HIGHWAY 50, GRAND JUNCTION, CO 81503-2294
(970) 245-1215
Mailing address
2491 FOUNTAIN GREENS PL UNIT A-9, GRAND JUNCTION, CO 81505-8639
(970) 210-4241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0021807
CO
Other
Enumeration date
07/26/2017
Last updated
09/20/2020
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