Individual
MR. BENJAMIN JAY JIMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
13143 S PARKER RD, PARKER, CO 80134-3488
(720) 214-1073
(720) 214-1077
Mailing address
11525 CANTERBERRY LN, PARKER, CO 80138-8464
(720) 214-1073
(720) 214-1077
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12429
CO
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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