Provider Demographics
NPI:1174600415
Name:BAINBRIDGE, JACQUELYN LOUISE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JACQUELYN
Middle Name:LOUISE
Last Name:BAINBRIDGE
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Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:5101 E PRINCETON AVE
Mailing Address - Street 2:5101 E. PRINCETON AVE
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-5019
Mailing Address - Country:US
Mailing Address - Phone:303-758-8033
Mailing Address - Fax:303-315-1797
Practice Address - Street 1:UNIVERSITY OF COLORADO 4200 EAST NINTH AVE
Practice Address - Street 2:SCHOOL OF PHARMACY CAMPUS BOX C238
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80262-0001
Practice Address - Country:US
Practice Address - Phone:303-315-2502
Practice Address - Fax:303-315-1797
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO12682183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy