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TED CALLAHAN RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1629378229

Individual Registrant:
 TED  CALLAHAN RPH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
232 G ST  SALIDA, CO 81201-2019 US
Tel: 719-539-6933  Fax: 719-539-1538

Contact information for business:
232 G ST  SALIDA, CO 81201-2019 US
Tel: 719-539-6933  Fax: 719-539-1538

Registration Information:
NPI: 1629378229
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CO14047

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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