Individual
KENNETH BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11065 CANYONBROOK WAY, HIGHLANDS RANCH, CO 80130-6988
(720) 301-5660
Mailing address
11065 CANYONBROOK WAY, HIGHLANDS RANCH, CO 80130-6988
(720) 301-5660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019517
CO
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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