Individual
CASEY DIEKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4747 ARAPAHOE AVE, BOULDER, CO 80303-1131
(402) 730-5089
Mailing address
4747 ARAPAHOE AVE, BOULDER, CO 80303-1131
(402) 730-5089
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.20743
CO
Other
Enumeration date
03/31/2025
Last updated
04/07/2025
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