Most Relevant Information
Provider Data
| NPI Number: | 1003481037 |
| Provider Name: | JAMIE ANNE ELIZAH TAN TUBAO PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PHA.0023543 |
Most Important Dates
| Enumeration Date: | 05/21/2021 |
| Last Updated: | 05/21/2021 |
Provider Practice Location
8799 WASHINGTON ST
THORNTON
CO
802294713
Practice Location Phone/Fax
| Phone: | 4437601324 |
| Fax: |
Provider Mailing Location
11801 YORK ST APT 2016
THORNTON
CO
802331435
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |