Individual
MRS. GHENNET KIDANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
3904 E 120TH AVE, THORNTON, CO 80233-1606
(303) 457-3588
(303) 457-2972
Mailing address
3904 E 120TH AVE, THORNTON, CO 80233-1606
(303) 457-3588
(303) 457-2792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13312
CO
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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