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Individual

DR. BENJAMIN ALEX PROCTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1535 MAIN ST, WINDSOR, CO 80550-5993
(970) 674-1188
Mailing address
7733 W 55TH AVE APT 306, ARVADA, CO 80002-4510
(720) 394-1169

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22728
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22728
PHARMACIST LICENSE
CO
Enumeration date
07/19/2019
Last updated
07/19/2019
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