Individual
KJERSTEN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9881 W 58TH AVE, ARVADA, CO 80002-2011
(303) 422-8008
Mailing address
9881 W 58TH AVE, ARVADA, CO 80002-2011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21423
CO
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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