Provider Demographics
NPI:1699043331
Name:MAY, JEFF (RPH)
Entity Type:Individual
Prefix:MR
First Name:JEFF
Middle Name:
Last Name:MAY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5921
Mailing Address - Country:US
Mailing Address - Phone:970-385-1001
Mailing Address - Fax:970-385-1847
Practice Address - Street 1:2701 MAIN AVE
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5921
Practice Address - Country:US
Practice Address - Phone:970-385-1001
Practice Address - Fax:970-385-1847
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13153183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist