Individual
RICHARD DZIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7155 SHERIDAN BLVD, WESTMINSTER, CO 80003-3803
(303) 487-1412
Mailing address
916 XAVIER ST, DENVER, CO 80204-2833
(303) 775-3588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22321
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22321
PHARMACIST LICENSE
CO
Enumeration date
08/27/2018
Last updated
08/27/2018
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