Individual
BRITTANY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 E 17TH AVE, LONGMONT, CO 80504-3004
(303) 651-7468
Mailing address
835 E 17TH AVE, LONGMONT, CO 80504-3004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21027
CO
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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