Individual
STACIE J JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
240 W PARK DR, GRAND JUNCTION, CO 81505-1450
(970) 208-1252
(970) 208-1258
Mailing address
2048 WRANGLER CT, GRAND JUNCTION, CO 81507-9777
(970) 208-1252
(970) 208-1258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13536
CO
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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