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NPI Code Detail

MEDICARE: DR. SHAUNA RENEE JARDON PHARMD

MEDICARE: DR. SHAUNA RENEE JARDON PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist55524CA

General Provider Information

NPI Number : 1013089234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAUNA RENEE JARDON PHARMD
Provider Business Mailing Address
First Line : 9057 E MISSISSIPPI AVE
Second Line : 14-203
City : DENVER
State : CO
Zip : 80247-2078
Country : US
Telephone Number : 303-502-4056
Fax Number :
Provider Business Practice Location Address
First Line : 2500 S HAVANA ST
Second Line : PHARMACY CALL CENTER
City : AURORA
State : CO
Zip : 80014-1618
Country : US
Telephone Number : 303-338-4454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 10/26/2007

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