Individual
WADE C GUNSALLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9601 GRANT ST, THORNTON, CO 80229-2155
(303) 453-4964
Mailing address
9601 GRANT ST, THORNTON, CO 80229-2155
(303) 453-4964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19347
CO
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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