Individual
SETH H LEVULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2514 MAIN ST, LONGMONT, CO 80504-9740
(303) 774-9419
Mailing address
2514 MAIN ST, LONGMONT, CO 80504-9740
(303) 774-9419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20933
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20933
COLORADO STATE BOARD OF PHARMACY
CO
Enumeration date
04/15/2019
Last updated
04/15/2019
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