Individual
DARWIN TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3325 28TH ST, BOULDER, CO 80301-1440
(303) 938-9284
Mailing address
3325 28TH ST, BOULDER, CO 80301-1440
(303) 938-9284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0024232
CO
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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