Individual
MICHELLE FOMBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
6412 S PARKER RD, AURORA, CO 80016
(303) 779-4242
Mailing address
6412 S PARKER RD, AURORA, CO 80016
(303) 627-6111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020989
CO
Other
Enumeration date
09/16/2015
Last updated
10/25/2016
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