Individual
BRYAN CAMERON FOUSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4001 E 120TH AVE, THORNTON, CO 80233-1716
(303) 451-5562
(303) 451-1682
Mailing address
4001 E 120TH AVE, THORNTON, CO 80233-1716
(303) 451-5562
(303) 451-1682
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17429
CO
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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