Individual
PIDCHAYA PRINDAVONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1545 S KIPLING PKWY, LAKEWOOD, CO 80232-6236
(303) 989-8490
(303) 969-3026
Mailing address
1545 S KIPLING PKWY, LAKEWOOD, CO 80232-6236
(720) 280-5331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0018762
CO
Other
Enumeration date
10/02/2023
Last updated
02/11/2026
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