Individual
MARK TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3895 UPHAM ST, WHEAT RIDGE, CO 80033-4651
(303) 252-7990
Mailing address
3895 UPHAM ST, WHEAT RIDGE, CO 80033-4651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16351
CO
Other
Enumeration date
05/26/2014
Last updated
05/27/2014
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