Provider Demographics
NPI:1508142985
Name:KIRKPATRICK, JENNIFER E (PHARMD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7162 S CLERMONT DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2239
Mailing Address - Country:US
Mailing Address - Phone:303-525-8171
Mailing Address - Fax:303-741-6330
Practice Address - Street 1:8151 S QUEBEC ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-3187
Practice Address - Country:US
Practice Address - Phone:303-694-2136
Practice Address - Fax:303-741-6330
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-29
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18131183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist