Individual
LACY BASSHAM COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9400 RALSTON ROAD, ARVADA, CO 80002
(720) 624-0333
Mailing address
9400 RALSTON ROAD, ARVADA, CO 80002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19416
CO
183500000X
Pharmacist
PD11635
AR
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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