Individual
MARTHA KIDANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10300 FEDERAL BLVD, FEDERAL HEIGHTS, CO 80260-6101
(303) 469-0809
Mailing address
10300 FEDERAL BLVD, FEDERAL HEIGHTS, CO 80260-6101
(303) 469-0809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14842
CO
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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