MEDICARE: JENNIFER CHIN

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
1	183500000X	Pharmacist	PHA.0025464	CO

General Provider Information

NPI Number	:	1104769546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER CHIN

Provider Business Mailing Address
First Line	:	365 LIONSTONE DR APT A
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80916-1184
Country	:	US
Telephone Number	:	206-331-6656
Fax Number	:

Provider Business Practice Location Address
First Line	:	3570 HARTSEL DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-4165
Country	:	US
Telephone Number	:	719-590-1099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “ JENNIFER CHIN ” Practice Location

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