Individual
TANYA GOLOVANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCSCP
Contact information
Practice address
915 CENTRE AVE STE 3, FORT COLLINS, CO 80526-6046
(970) 494-2130
(970) 494-2131
Mailing address
915 CENTRE AVE STE 3, FORT COLLINS, CO 80526-6046
(970) 494-2130
(970) 494-2131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20453
CO
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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