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NPI Code Detail

MEDICARE: JONATHAN H. QUIRK PHARMD, RPH

MEDICARE:   JONATHAN H. QUIRK  PHARMD, RPH
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
1183500000XPharmacistRPH-0013664OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
197-176-1252OTHERCODRIVERS LICENSE

General Provider Information

NPI Number : 1972937381
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN H. QUIRK PHARMD, RPH
Provider Business Mailing Address
First Line : 5850 WELKIN CIR APT 304
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-1454
Country : US
Telephone Number : 719-526-5250
Fax Number : 719-524-2258
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 719-524-4410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2013
Last Update Date : 12/08/2025

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