Individual
JOAN ETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
450 KEN PRATT BLVD, LONGMONT, CO 80501-8522
(303) 532-3488
(303) 532-3494
Mailing address
450 KEN PRATT BLVD, LONGMONT, CO 80501-8522
(303) 532-3488
(303) 532-3494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15630
CO
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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