Individual
ETHAN HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5675 PECOS ST STE 100, DENVER, CO 80221-6655
(720) 596-9500
Mailing address
14770 ORCHARD PKWY APT 1-420, WESTMINSTER, CO 80023-9127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0024327
CO
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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