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Individual

MR. CHARLES R SMALLWOOD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
4884 CHAMBERS RD, DENVER, CO 80239-5152
(303) 371-6645
Mailing address
4044 S ODESSA CIR, AURORA, CO 80013-7477
(303) 284-8591

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13884
CO

Other

Enumeration date
10/26/2010
Last updated
10/26/2010
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