Individual provider · Type 1 NPI

Marykay Jimenez

Pharmacist · Pueblo, CO

NPI number 1609143312 Active

Practice location

617 W 29th St
Pueblo, CO 81008-1115

Mailing address

13 Altadena Dr
Pueblo, CO 81005-2963

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X12980 (CO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1609143312

Marykay Jimenez's National Provider Identifier is 1609143312, issued on Nov 23, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Pueblo, CO. The record was last updated on Nov 23, 2011.