Individual
DR. DEMELASH ALTAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
906 E OLIVE ST, LAMAR, CO 81052-2966
(719) 336-0880
Mailing address
2513 S GENOA ST, AURORA, CO 80013-4302
(720) 514-0435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0021612
CO
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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