Individual
MIRANDA LOCKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 S WILCOX ST, CASTLE ROCK, CO 80104-1914
(303) 663-5998
Mailing address
355 S WILCOX ST, CASTLE ROCK, CO 80104-1914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16587
CO
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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