Provider Demographics
NPI:1700186384
Name:MILOSOVICH, JANET
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:MILOSOVICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8543 CHURCH RANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-5538
Mailing Address - Country:US
Mailing Address - Phone:303-410-0550
Mailing Address - Fax:303-410-0200
Practice Address - Street 1:8543 CHURCH RANCH BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-5538
Practice Address - Country:US
Practice Address - Phone:303-410-0550
Practice Address - Fax:303-410-0200
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11672183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist