Individual
MARVIN JOHN THELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3501 EL CAMINITO ST, LOVELAND, CO 80537
(970) 278-0770
Mailing address
3501 EL CAMINITO ST, LOVELAND, CO 80537
(970) 278-0770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17871
CO
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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