Individual
DONNA HUCKABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 W 136TH AVE, BROOMFIELD, CO 80023-9331
(303) 920-3050
(303) 920-3052
Mailing address
2355 W 136TH AVE, BROOMFIELD, CO 80023-9331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10969
CO
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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