Provider Demographics
NPI:1720014327
Name:DUNBAR-SUWALSKI, JANE ANDREA (RPH)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:ANDREA
Last Name:DUNBAR-SUWALSKI
Suffix:
Gender:F
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:THE APOTHECARY AT WARDENBURG
Mailing Address - Street 2:UNIVERSITY OF COLORADO CAMPUS BOX 119
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80309-0001
Mailing Address - Country:US
Mailing Address - Phone:303-492-8553
Mailing Address - Fax:303-492-4874
Practice Address - Street 1:THE APOTHECARY AT WARDENBURG
Practice Address - Street 2:UNIVERSITY OF COLORADO CAMPUS BOX 119
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80309-0001
Practice Address - Country:US
Practice Address - Phone:303-492-8553
Practice Address - Fax:303-492-4874
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14900183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist