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Individual

TATYANA IZRAILEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
6531 YALE DR, HIGHLANDS RANCH, CO 80130-3757
(913) 461-4865
Mailing address
6531 YALE DR, HIGHLANDS RANCH, CO 80130-3757
(913) 461-4865

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023282
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PHA.0023282
COLORADO BOARD OF PHARMACY
CO
Enumeration date
12/09/2020
Last updated
12/09/2020
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