Individual
BENJAMIN DAVID FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1641 23RD AVE, GREELEY, CO 80634-6012
(970) 356-1177
Mailing address
1641 23RD AVE, GREELEY, CO 80634-6012
(970) 356-1177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023263
CO
Other
Enumeration date
06/08/2020
Last updated
09/02/2020
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