Individual
TYSON E PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
457 SOUTH CHERRYWOOD DR., LAFAYETTE, CO 80026
(303) 665-6778
Mailing address
457 S CHERRYWOOD DR, LAFAYETTE, CO 80026-8853
(303) 665-6778
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14312
CO
183500000X
Pharmacist
S017707
AZ
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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