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Individual

MARY BURGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7190 E HAMPDEN AVE, DENVER, CO 80224-3014
(303) 773-6154
Mailing address
10826 E MAPLEWOOD PL, ENGLEWOOD, CO 80111-5742
(303) 771-3431

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11194
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11194
COLORADO STATE BOARD OF PHARMACY
CO
Enumeration date
10/31/2011
Last updated
10/31/2011
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