Individual
DR. SAVIVAN PHANEKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
557 BURBANK ST, SUITE Q, BROOMFIELD, CO 80020-7160
(303) 460-9474
Mailing address
6135 QUARTZ LOOP, ARVADA, CO 80403-2636
(303) 216-1503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16949
CO
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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