Individual
LIEN VO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6780 S UNIVERSITY BLVD, LITTLETON, CO 80122-1513
(303) 770-2414
Mailing address
10566 LAURELGLEN CIR, HIGHLANDS RANCH, CO 80130-6915
(303) 829-9952
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18322
CO
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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