Individual
BRIAN MARTISIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2665 W EISENHOWER BLVD, LOVELAND, CO 80537-3156
(307) 399-0880
Mailing address
2895 ARIEL DR, LOVELAND, CO 80537-2059
(307) 399-0880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
3935
WY
183500000X
Pharmacist
Primary
PHA.0021517
CO
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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