Provider / Organization | NPI | Date Certified |
---|---|---|
JAIRO JOBANIE ULLOA | 1083445233 | 2024-08-11 |
Jairo Jobanie Ulloa is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083445233. Registration indicates Jairo Jobanie Ulloa is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Jairo Jobanie Ulloa PHARMD |
Practice Office Address | 1914 CHESTNUT PL DENVER, CO US |
Practice Office Telephone | 3036782434 |
Mailing Address | 1017 S FRASER WAY AURORA, CO 800123794 US |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 24872
CO |