Organization
PRIME OMNICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY LYNN HOWARD (MANAGER)
(606) 691-0366
Entity
Organization
Contact information
Practice address
1013 S FEDERAL BLVD, DENVER, CO 80219-4101
(303) 285-4778
Mailing address
1013 S FEDERAL BLVD, DENVER, CO 80219-4101
(303) 285-4778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
02/20/2024
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