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Individual

GARY M BLAMIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
171 YODER AVE, AVON, CO 81620-5220
(970) 949-6544
(970) 949-6548
Mailing address
PO BOX 5220, AVON, CO 81620-5220
(970) 949-6544
(970) 949-6548

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16434
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16434
BOARD OF PHARMACY
CO
Enumeration date
04/29/2019
Last updated
04/29/2019
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