NPI 1013217900

Jason Deboodt

Practitioner Pharmacist Fort Collins, CO

Practice location

Address: 2160 W Drake Rd, Fort Collins, CO 80526-1486
Phone: (970) 484-2843
Fax: (970) 490-2774

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 17449 (CO)

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Registry record

NPI: 1013217900
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2010
Record last updated: 26 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.