Vandiver, Jerry

Vandiver, Jerry is an individual health care provider with primary practice located at 508 E Main St , Cortez CO 81321-3307. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Vandiver, Jerry can be contacted via phone (970) 565-6466.

Contact Information

Primary practice address
508 E Main St Cortez CO 81321-3307
Phone: (970) 565-6466
Fax: (970) 565-2152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 11974 Colorado

Profile Details

NPI number 1568705796
LBN Legal business name Vandiver, Jerry
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2013
Last updated Apr 6th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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