Individual
THOR EVONIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
560 CORONA ST, DENVER, CO 80218-3436
(303) 777-6888
Mailing address
560 CORONA ST, DENVER, CO 80218-3436
(303) 777-6888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16868
CO
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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