# NONE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124410931
- **Authorized official:** MR. DAVID HANER RPH (PHARMACIST)
- **Authorized official phone:** (970) 290-6802

## Contact information

- **Practice address:** 1232 E 20TH ST, LOVELAND, CO 80538-4019
- **Practice address phone:** (970) 290-6802
- **Mailing address:** 1232 E 20TH ST, LOVELAND, CO 80538-4019
- **Mailing address phone:** (970) 290-6802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 11824 | CO | Yes |

## Other

- **Enumeration date:** 03/03/2015
- **Last updated:** 03/03/2015