Individual
DANIEL WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 COALTON RD, SUPERIOR, CO 80027-4610
(303) 391-4702
Mailing address
1601 COALTON RD, SUPERIOR, CO 80027-4610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21496
CO
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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