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GARY LAVERNE PULVERMACHER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1600 BROADWAY, STE 700, DENVER, CO 80202-4967
(303) 844-2760
Mailing address
3640 NEEDLES DR, COLORADO SPRINGS, CO 80908-1351
(719) 481-4936

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14889
CO

Other

Enumeration date
06/22/2005
Last updated
07/08/2007
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