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Individual

JOHN D HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6520 S ACADEMY BLVD, SAFEWAY PHARMACY, COLORADO SPRINGS, CO 80906-8614
(719) 527-4807
Mailing address
6520 S ACADEMY BLVD, SAFEWAY PHARMACY, COLORADO SPRINGS, CO 80906-8614
(719) 527-4807

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12089
CO

Other

Enumeration date
11/01/2012
Last updated
11/01/2012
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