Individual
MARY CHARLES DEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
11600 W 2ND PL STE 1817, LAKEWOOD, CO 80228-1527
(720) 321-8290
(720) 321-8291
Mailing address
11600 W 2ND PL STE 1817, LAKEWOOD, CO 80228-1527
(720) 321-8290
(720) 321-8291
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
026942
GA
183500000X
Pharmacist
Primary
19428
CO
Other
Enumeration date
08/22/2013
Last updated
03/27/2019
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