Individual
MR. DAN GUBERUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12680 W 64TH AVE, ARVADA, CO 80004-3806
(303) 423-6886
(303) 423-0573
Mailing address
12680 W 64TH AVE, ARVADA, CO 80004-3806
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11799
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11799
LICENSE
CO
Enumeration date
10/20/2011
Last updated
10/20/2011
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