Individual
LANCE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1671 E MAIN ST, CORTEZ, CO 81321-3033
(970) 564-9165
Mailing address
1671 E MAIN ST, CORTEZ, CO 81321-3033
(970) 564-9165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17100
CO
183500000X
Pharmacist
2007010442
MO
183500000X
Pharmacist
RPH-0010778
OR
Other
Enumeration date
12/10/2009
Last updated
04/15/2016
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