Individual
NICOLE MARIE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3801 E 120TH AVE, THORNTON, CO 80233-6701
(303) 451-9470
Mailing address
3801 E 120TH AVE, THORNTON, CO 80233-6701
(303) 451-9470
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-13694
KS
183500000X
Pharmacist
Primary
17127
CO
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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