Individual
AMY MARIE IRSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
4651 W 121ST AVE, BROOMFIELD, CO 80020-5662
(303) 217-9381
(720) 887-8438
Mailing address
1921 RUTH DR, THORNTON, CO 80229-3672
(303) 902-6798
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000083
CO
Other
Enumeration date
02/05/2021
Last updated
09/29/2023
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