Individual
VICTORIA KENE RERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
603 KEN PRATT BLVD, LONGMONT, CO 80501-6419
(303) 827-3480
(303) 827-3540
Mailing address
603 KEN PRATT BLVD, LONGMONT, CO 80501-6419
(303) 827-3480
(303) 827-3540
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-21333
CO
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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