Kushmart

NPI #1972832277 in Denver, Colorado

Provider Information

NPI Number
1972832277
Entity Type
Organization
Organization Name
Kushmart
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Dec 15, 2009
Last Updated
Dec 15, 2009

Practice Location

Address
4095 JACKSON ST
City
Denver
ZIP Code
80216-6522
Phone
(702) 630-1610

Authorized Official

Name
MR. WILLIAM SCOTT JOHNSON
Title
OWNER
Phone
(702) 630-1610

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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