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Individual

MICHAEL MERICLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
28 TOWN PLZ, DURANGO, CO 81301-5102
(970) 247-5057
Mailing address
154 IRON KING RD, DURANGO, CO 81301
(970) 259-5147

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17338
CO
183500000X
Pharmacist
20791
TX

Other

Enumeration date
06/15/2011
Last updated
06/15/2011
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