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Individual

MARY LOUISE ROLDAN CRABTREE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
7211 FEDERAL BLVD, WESTMINSTER, CO 80030-4901
(303) 427-7479
(303) 427-7549
Mailing address
7545 JELLISON CT, ARVADA, CO 80005-4052

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17740
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
BW7050420
CO
Enumeration date
11/13/2011
Last updated
11/13/2011
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