Individual
ELIZABETH J CHURCH-WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
120 N BROADWAY, DENVER, CO 80203-3917
(303) 722-0771
Mailing address
1275 N WASHINGTON ST APT 15, DENVER, CO 80203-5217
(303) 594-3445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0022793
CO
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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