IndividualActive
Jerry Vandiver, R.PH.
NPI 1568705796 · Pharmacist · Cortez, CO
Jerry Vandiver, R.PH. is a Pharmacist provider in Cortez, CO (NPI 1568705796).
Provider details
- NPI number
- 1568705796
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- R.PH.
- Sex
- Male
- Sole proprietor
- No
- License
- 11974 (CO)
Practice location
508 E Main St
Cortez, CO 81321-3307
Phone: (970) 565-6466
Fax: (970) 565-2152
Street-level locationGet directions
Mailing address
508 E Main St
Cortez, CO 81321-3307
Registry dates
- Enumerated
- 2013-04-06
- Last updated
- 2013-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.