Individual
MARISA DAWN HULSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12051 E MISSISSIPPI AVE, AURORA, CO 80012-2834
(303) 340-8860
Mailing address
916 XAVIER ST, DENVER, CO 80204-2833
(575) 313-0365
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0022389
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022389
PHARMACIST LICENSE NUMBER
CO
Enumeration date
09/07/2018
Last updated
09/07/2018
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