Provider Demographics
NPI:1942805379
Name:KOVATS, JESSICA (PHARMD, MS)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:KOVATS
Suffix:
Gender:F
Credentials:PHARMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E 62ND AVE UNIT 922
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-1172
Mailing Address - Country:US
Mailing Address - Phone:303-656-5172
Mailing Address - Fax:
Practice Address - Street 1:1391 SPEER BLVD STE 600
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2554
Practice Address - Country:US
Practice Address - Phone:303-389-4520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0022443183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist