Individual
RYAN A MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
16910 E QUINCY AVE, AURORA, CO 80015-2745
(303) 680-3284
Mailing address
6505 W 25TH LN, EDGEWATER, CO 80214-1011
(575) 430-2930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20036
CO
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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