Provider Demographics
NPI:1790992550
Name:GILL, JASJIT SINGH (RPH)
Entity Type:Individual
Prefix:MR
First Name:JASJIT
Middle Name:SINGH
Last Name:GILL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1878 FOURMILE CANYON DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-8787
Mailing Address - Country:US
Mailing Address - Phone:303-499-2879
Mailing Address - Fax:303-499-5308
Practice Address - Street 1:THE APOTHECARY PHARMACY - UNIVERSITY OF COLORADO
Practice Address - Street 2:350 BROADWAY STE. 50
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305
Practice Address - Country:US
Practice Address - Phone:303-499-2879
Practice Address - Fax:303-499-5308
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16490183500000X
NY050699-1183500000X
FLPS36461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist