Individual
MARI KATHLEEN PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6110 FIRESTONE BLVD, FIRESTONE, CO 80504-6425
(303) 682-4160
Mailing address
325 S 5TH ST, LA SALLE, CO 80645-3029
(970) 302-6903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21406
CO
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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