Individual
MICHELE MAHAL ORDINARIO SAMPAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-9688
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-9688
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18022
CO
183500000X
Pharmacist
2002608
CO
Other
Enumeration date
02/25/2008
Last updated
08/12/2021
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