Individual
KEVIN DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
4775 LARIMER PKWY, JOHNSTOWN, CO 80534-9022
(970) 461-9101
Mailing address
4775 LARIMER PKWY, JOHNSTOWN, CO 80534-9022
(970) 461-9101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0020097
CO
Other
Enumeration date
04/27/2014
Last updated
04/27/2014
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