Individual
TANYA RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 KATHLEEN CIR, GRAND JUNCTION, CO 81501-7319
(970) 434-9651
Mailing address
380 KATHLEEN CIR, GRAND JUNCTION, CO 81501-7319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20711
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20711
PHARMACIST LICENSE NUMBER
CO
Enumeration date
08/26/2015
Last updated
08/26/2015
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