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DR. STEPHEN MICHAEL MITCHELL R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1306098710

Individual Registrant:
DR. STEPHEN MICHAEL MITCHELL R.PH.
Gender: M
Sole Proprietor

Location and contact information for practice:
110 W.PLATTE AVE  FT.MORGAN, CO 80701 US
Tel: 970-867-9201  Fax: --

Contact information for business:
110 W.PLATTE AVENUE  FT.MORGAN, CO 80701 US
Tel: 970-867-9201  Fax: --

Registration Information:
NPI: 1306098710
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CO14294

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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