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Individual

WALKER BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
490 ERIE PKWY, ERIE, CO 80516-5435
(303) 586-8276
Mailing address
4109 E 10TH AVE APT 210, DENVER, CO 80220-3865

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0023370
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0023370
COLORADO STATE BOARD OF PHARMACY
CO
Enumeration date
11/07/2020
Last updated
11/07/2020
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