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Individual

MR. ALAN M HENLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
625 N 19TH ST, COLORADO SPRINGS, CO 80904-3459
(719) 473-8834
(719) 473-0445
Mailing address
625 N 19TH ST, COLORADO SPRINGS, CO 80904-3459
(719) 473-8834
(719) 473-0445

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14853
CO

Other

Enumeration date
12/04/2011
Last updated
12/04/2011
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