Individual
TRAVIS JOEL POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9485 W COLFAX AVE, LAKEWOOD, CO 80215-3918
(303) 432-5925
Mailing address
293 YANK CT, LAKEWOOD, CO 80228-1305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19740
CO
183500000X
Pharmacist
2012015610
MO
Other
Enumeration date
08/08/2012
Last updated
06/25/2014
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