Organization
MANGO HOUSE
Active
Parent organization
MANGO HOUSE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANGO HOUSE
Authorized official
JENNIFER RUDDER (OPERATIONS DIRECTOR)
(479) 899-8024
Entity
Organization
Contact information
Practice address
10180 E COLFAX AVE STE 150, AURORA, CO 80010-5042
(303) 900-8639
Mailing address
12702 W VIRGINIA AVE, LAKEWOOD, CO 80228-2611
(303) 900-8639
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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