Individual
MRS. REBECCA SUSAN REALSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
10794 VISTA RD, PARKER, CO 80138-3130
(303) 204-5845
Mailing address
10794 VISTA RD, PARKER, CO 80138-3130
(303) 204-5845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
00022162
WA
183500000X
Pharmacist
Primary
15501
CO
183500000X
Pharmacist
8827
AZ
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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