Organization
MEDIZINE MAN INC.
Active
Other names
Platte Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS PAUL GIERWATOSKI R.PH. (CEO/PRESIDENT)
(970) 640-7698
Entity
Organization
Contact information
Practice address
1606 PRAIRIE CENTER PKWY, BRIGHTON, CO 80601-4004
(303) 483-7455
(303) 483-7456
Mailing address
13802 DEXTER WAY, THORNTON, CO 80602-9626
(970) 640-7698
(303) 955-0684
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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