Individual
MR. JOSEPH D VAN LANCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARM
Contact information
Practice address
1304 CHINOOK LN, PUEBLO, CO 81001-1851
(719) 296-6937
(719) 543-6439
Mailing address
2414 MESA CREST GRV, COLORADO SPRINGS, CO 80904-1816
(719) 235-8590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14784
CO
Other
Enumeration date
10/25/2011
Last updated
01/30/2021
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