Individual
MARK WESLEY WATENPAUGH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
236 WEST COLORADO AVE, TELLURIDE, CO 81435-0702
(970) 728-3601
(970) 728-1366
Mailing address
PO BOX 702, 236 WEST COLORADO AVE, TELLURIDE, CO 81435-0702
(970) 728-3601
(970) 728-1366
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9580
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03840295
—
CO
Enumeration date
07/27/2006
Last updated
07/08/2007
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