Individual
MAXWELL THOMAS SUMNICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
300 PUPPY SMITH ST, ASPEN, CO 81611-1455
(970) 925-2728
Mailing address
300 PUPPY SMITH ST, ASPEN, CO 81611-1455
(970) 925-2728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020979
CO
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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