Individual
KIMBERLY FREEMAN TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 689-6115
Mailing address
965 DAPHNE ST, BROOMFIELD, CO 80020-3526
(303) 689-6115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16672
CO
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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