Individual
NIKKI ANGELICA KOPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7410
Mailing address
7717 PITCHER PT APT 306, FOUNTAIN, CO 80817-4819
(303) 519-1646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20551
CO
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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