Individual
DR. JOEL TRAVIS TANAKA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6900 S YOSEMITE ST, CENTENNIAL, CO 80112-1418
(303) 843-7600
Mailing address
5912 MAPLETON DR, COLORADO SPRINGS, CO 80918-5679
(719) 963-5066
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0024220
CO
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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