Individual
KELLY KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12850 E MONTVIEW BLVD, AURORA, CO 80045-2605
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0023992
CO
183500000X
Pharmacist
PR70620
ME
183700000X
Pharmacy Technician
PI70419
ME
Other
Enumeration date
06/29/2021
Last updated
08/03/2023
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