Individual
DR. SERGEY I FOUKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MSHSA
Contact information
Practice address
449 S BALSAM ST, LAKEWOOD, CO 80226-3012
(720) 404-2989
Mailing address
449 S BALSAM ST, LAKEWOOD, CO 80226-3012
(720) 404-2989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023189
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA.0023189
DORA
CO
Enumeration date
08/18/2020
Last updated
08/18/2020
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