Individual
DR. BENJAMIN KONGHMOOV VUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
600 MARSHALL RD, SUPERIOR, CO 80027-9730
(720) 587-1002
Mailing address
4820 THRUSH CT, FREDERICK, CO 80504-3462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24882
CO
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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