Individual
PAULA E CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3700 35TH AVE, EVANS, CO 80620-9574
(970) 330-4368
Mailing address
3700 35TH AVE, EVANS, CO 80620-9574
(970) 330-4368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13363
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13363
COLORADO STATE LICENSE NUMBER
CO
Enumeration date
09/21/2011
Last updated
09/21/2011
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