Individual
RICA MBANGU KOT MBAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
20526 E KENYON PL, AURORA, CO 80013-6608
(303) 638-8121
Mailing address
20526 E KENYON PL, AURORA, CO 80013-6608
(303) 638-8121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23816
CO
Other
Enumeration date
12/06/2021
Last updated
04/24/2024
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