Individual
MICHELLE STUNKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 MAIN ST, LONGMONT, CO 80501-4302
(303) 772-1111
(303) 772-4247
Mailing address
1499 LINCOLN CIR, LONGMONT, CO 80501-1884
(406) 546-0435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
25727918
CA
183500000X
Pharmacist
26028248A
IN
183500000X
Pharmacist
Primary
PHA.0023738
CO
Other
Enumeration date
06/19/2020
Last updated
05/01/2022
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