None

NPI #1124410931 in Loveland, Colorado

Provider Information

NPI Number
1124410931
Entity Type
Organization
Organization Name
None
Primary Specialty
Pharmacy
Enumeration Date
Mar 3, 2015
Last Updated
Mar 3, 2015

Practice Location

Address
1232 E 20TH ST
ZIP Code
80538-4019
Phone
(970) 290-6802

Authorized Official

Name
MR. DAVID HANER, RPH
Title
PHARMACIST
Phone
(970) 290-6802

Specialties & Taxonomy Codes

Specialty
Pharmacy

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