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GERALD JAMES YOUNG RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1306821574

Individual Registrant:
 GERALD JAMES YOUNG RPH
Gender: M

Location and contact information for practice:
579 SPRUCE ST  MONTE VISTA, CO 81144-9431 US
Tel: 719-852-5063  Fax: 719-852-3566

Contact information for business:
579 SPRUCE ST  MONTE VISTA, CO 81144-9431 US
Tel: 719-852-5063  Fax: 719-852-3566

Registration Information:
NPI: 1306821574
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CO10330

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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