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JESSICA ASHENFELTER PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1518472455
Individual Registrant: JESSICA ASHENFELTER PHARMD
Gender: F
Sole Proprietor
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: --
Tel: 719-384-6616 Fax: --
Contact information for business:
1005 EDISON AVE LA JUNTA, CO 81050-3063 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1518472455
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CO | 21962 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
