Individual
TIMOTHY IAN MCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6 TOWN PLZ, DURANGO, CO 81301-5104
(970) 247-2921
Mailing address
6 TOWN PLZ, DURANGO, CO 81301-5104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0024148
CO
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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