Individual
DANIEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 FREMONT DR, CANON CITY, CO 81212-2403
(719) 274-1267
Mailing address
1609 FREMONT DR, CANON CITY, CO 81212-2403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0020538
CO
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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