Individual
GEORGE V DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
194 JOSHUA RD, DIVIDE, CO 80814-9253
(719) 687-1166
Mailing address
194 JOSHUA RD, DIVIDE, CO 80814-9253
(719) 687-1166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10425
CO
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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