Individual
NICOLE FRACKOVIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
7777 E HAMPDEN AVE, DENVER, CO 80231-4806
(303) 481-2822
Mailing address
4109 E 10TH AVE APT 210, DENVER, CO 80220-3865
(862) 216-6318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0023371
CO
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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