Individual
SINI MUCKOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1111 S. COLORADO BLVD, DENVER, CO 80222
(303) 758-8083
Mailing address
754 S YORK ST, DENVER, CO 80209-4645
(630) 806-1042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18410
CO
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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