Organization
NONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HANER RPH (PHARMACIST)
(970) 290-6802
Entity
Organization
Contact information
Practice address
1232 E 20TH ST, LOVELAND, CO 80538-4019
(970) 290-6802
Mailing address
1232 E 20TH ST, LOVELAND, CO 80538-4019
(970) 290-6802
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
11824
CO
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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