Provider Demographics
NPI:1538469507
Name:BRUBACHER, JAIME (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:BRUBACHER
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 1:2001 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-4115
Mailing Address - Country:US
Mailing Address - Phone:970-945-1100
Mailing Address - Fax:970-947-9091
Practice Address - Street 1:2001 GRAND AVE
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4115
Practice Address - Country:US
Practice Address - Phone:970-945-1100
Practice Address - Fax:970-947-9091
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2014-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18084183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist