Individual
ERIC REWERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
4700 BOARDWALK DR, FORT COLLINS, CO 80525-3729
(970) 204-7817
(970) 204-7819
Mailing address
4700 BOARDWALK DR, FORT COLLINS, CO 80525-3729
(970) 204-7817
(970) 204-7819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17363
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17363
STATE LICENSE
CO
Enumeration date
04/15/2019
Last updated
04/15/2019
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