Jimmy Lee Cassity, RPH Valid NPI
Individual provider · Pharmacist · Monte Vista, CO
- NPI
- 1790902666
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 14302 (CO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-04-20
- Last updated
- 2007-07-08
Practice location
222 Solar Ave
Monte Vista, CO 81144-1066
(719) 852-9894