Individual
DR. SUSAN IRENE DIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
200 W BELLEVIEW AVE, ENGLEWOOD, CO 80110-6610
(303) 794-0801
Mailing address
9764 CASTLE RIDGE CIR, HIGHLANDS RANCH, CO 80129-5721
(719) 839-0283
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17605
CO
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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