Individual
OWEN PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1677 S HAVANA ST, AURORA, CO 80012-5007
(303) 481-2291
Mailing address
1677 S HAVANA ST, AURORA, CO 80012-5007
(303) 481-2291
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023240
CO
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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