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MR. LANCE DENNE GALE RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1902837693

Individual Registrant:
MR. LANCE DENNE GALE RPH
Gender: M
Sole Proprietor

Location and contact information for practice:
909 MAIN ST  SPRINGFIELD, CO 81073-1646 US
Tel: 719-523-6201  Fax: 719-523-4190

Contact information for business:
909 MAIN ST  SPRINGFIELD, CO 81073-1646 US
Tel: 719-523-6201  Fax: 719-523-4190

Registration Information:
NPI: 1902837693
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CO10507

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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