Individual
DR. MANA AZADEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1055 CLERMONT ST, PHARMACY SERVICE 119, DENVER, CO 80220-3808
(303) 399-8020
Mailing address
1055 CLERMONT ST, PHARMACY SERVICE 119, DENVER, CO 80220-3808
(303) 399-8020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18418
CO
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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