Individual
DR. GARRETT NATHANAEL POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
6900 S YOSEMITE ST, CENTENNIAL, CO 80112-1418
(303) 843-7822
Mailing address
6900 S YOSEMITE ST, CENTENNIAL, CO 80112-1418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18823
CO
183500000X
Pharmacist
3345
WY
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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