Individual
BRANDON JOHN PERTICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
360 S COLORADO BLVD, GLENDALE, CO 80246-1205
(720) 258-8203
Mailing address
360 S COLORADO BLVD, GLENDALE, CO 80246-1205
(720) 258-8203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0022841
CO
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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