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General NPI Number Information
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NPI Number | 1669572491
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Entity Type | Organization
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Legal Business Name | JOSTA INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10103 RIDGEGATE PKWY #117B
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City | LONE TREE
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State | CO
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Zip | 80124-5520
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Country | US
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Telephone | 303-468-0303
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Fax | 303-468-0306
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Provider Business Mailing Address
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Address Line | 10103 RIDGEGATE PKWY #117B
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City | LONE TREE
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State | CO
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Zip | 80124-5520
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Country | US
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Telephone | 303-468-0303
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Fax | 303-468-0306
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Authorized Official
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Title or Position | PHARMACIST
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Name | MS. SUSAN M FINSTROM
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Credential | RPH
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Telephone | 303-468-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 12218
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License Number State | CO
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