Individual
BEN A GLENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2870 28TH ST, BOULDER, CO 80301-1224
(720) 214-3853
(720) 214-3859
Mailing address
2870 28TH ST, BOULDER, CO 80301-1224
(720) 214-3853
(720) 214-3859
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17237
CO
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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