Individual
SCOTT DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8037
Mailing address
2312 STOVER ST, FORT COLLINS, CO 80525-1850
(303) 257-0896
Taxonomy
Speciality
Code
Description
License number
State
1835E0208X
Emergency Medicine Pharmacist
Primary
21401
CO
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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