Individual
MICHAEL ALEXANDER VERSACKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA
Contact information
Practice address
757 E 20TH AVE, DENVER, CO 80205-3278
(303) 861-1212
Mailing address
757 E 20TH AVE, DENVER, CO 80205-3278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019414
CO
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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