Individual
NAM Q PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5125 W FLORIDA AVE, DENVER, CO 80219-3605
(303) 936-7403
(303) 937-4426
Mailing address
5125 W FLORIDA AVE, DENVER, CO 80219-3605
(303) 936-7403
(303) 937-4426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16113
CO
Other
Enumeration date
04/05/2013
Last updated
08/06/2013
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