Individual
DR. MICHAEL BUMPUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
151 WEST LAKE STREET COLORADO STATE UNIVERSITY, FORT COLLINS, CO 80523-3909
(970) 491-1402
(970) 491-4874
Mailing address
151 WEST LAKE STREET COLORADO STATE UNIVERSITY, FORT COLLINS, CO 80523-0001
(970) 491-1402
(970) 491-4874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
16169
CO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
16169
CO
Other
Enumeration date
09/23/2011
Last updated
01/07/2020
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