Individual
STANLEY LEON HIGGINBOTHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2697 W BELLEVIEW AVE, LITTLETON, CO 80123-7148
(720) 214-5532
Mailing address
5889 W FAIR DR, LITTLETON, CO 80123-3802
(303) 798-2518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9646
CO
183500000X
Pharmacist
9839
GA
Other
Enumeration date
09/25/2011
Last updated
09/25/2011
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