Individual
COLLEEN L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3401 S BROADWAY UNIT 180, ENGLEWOOD, CO 80113-2526
(720) 405-5125
(720) 405-5126
Mailing address
3401 S BROADWAY UNIT 180, ENGLEWOOD, CO 80113-2526
(720) 405-5125
(720) 405-5126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20939
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202-0014
APHA IMMUNIZATION CERTIFICATION
CO
Enumeration date
08/24/2015
Last updated
02/26/2024
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