Provider Demographics
NPI:1073880647
Name:DONNELLY, JENNIFER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:DONNELLY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8686 PARK MEADOWS CENTER DR
Mailing Address - Street 2:PHARMACY
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5129
Mailing Address - Country:US
Mailing Address - Phone:303-708-8571
Mailing Address - Fax:303-708-1903
Practice Address - Street 1:8686 PARK MEADOWS CENTER DR
Practice Address - Street 2:PHARMACY
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80124-5129
Practice Address - Country:US
Practice Address - Phone:303-708-8571
Practice Address - Fax:303-708-1903
Is Sole Proprietor?:No
Enumeration Date:2011-11-25
Last Update Date:2011-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15866183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist