Individual
DR. KEVIN FANCIULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2210 BLAKE ST UNIT 305, DENVER, CO 80205-2040
(720) 234-6484
Mailing address
2210 BLAKE ST UNIT 305, DENVER, CO 80205-2040
(720) 234-6484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17704
CO
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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