Individual
SHANE PATRICK O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHA
Contact information
Practice address
801 16TH ST, DENVER, CO 80202-3205
(303) 571-5314
Mailing address
801 16TH ST, DENVER, CO 80202-3205
(303) 571-5314
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0022895
CO
Other
Enumeration date
09/15/2019
Last updated
09/15/2019
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