Individual
ATHENA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 312-2217
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0022936
CO
183500000X
Pharmacist
16212
NE
Other
Enumeration date
03/19/2020
Last updated
06/11/2020
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