Individual
MARK LEWIS ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
620 W PLATTE AVE, FORT MORGAN, CO 80701-2652
(970) 867-3027
Mailing address
620 W PLATTE AVE, FORT MORGAN, CO 80701-2652
(970) 867-3027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19337
CO
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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