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JESSICA ASHENFELTER PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1518472455

Individual Registrant:
 JESSICA  ASHENFELTER PHARMD
Gender: F
Sole Proprietor

Location and contact information for practice:
315 W 2ND ST  LA JUNTA, CO 81050-1419 US
Tel: 719-384-6616  Fax: --

Contact information for business:
1005 EDISON AVE  LA JUNTA, CO 81050-3063 US
Tel: --  Fax: --

Registration Information:
NPI: 1518472455
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CO21962

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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