Jenna Allais, PHARMD

Individual provider Active NPI Pharmacist · Lafayette, CO

NPI 1487063889 · NPPES record last updated Aug 11, 2014

Key facts

NPI
1487063889
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
20342 (CO)
Practice address
200 Exempla Cir
Lafayette, CO 80026-3370
Phone
(303) 689-4111
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
20342COMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20342 CO Yes

Addresses

Primary practice location

200 Exempla Cir
Lafayette, CO 80026-3370

Mailing address

200 Exempla Cir
Lafayette, CO 80026-3370

Other providers in Lafayette, CO

All providers in Lafayette, CO · Pharmacist in Colorado

Sources for this page

Verify at the official NPI Registry.