Most Relevant Information
Provider Data
NPI Number: | 1003199258 |
Provider Name: | KIMBERLEY ANN MCCOLL PHARMD |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | 16083 |
Most Important Dates
Enumeration Date: | 09/23/2011 |
Last Updated: | 04/27/2015 |
Provider Practice Location
450 KEN PRATT BLVD
LONGMONT
CO
805018522
Practice Location Phone/Fax
Phone: | 3035323488 |
Fax: |
Provider Mailing Location
450 KEN PRATT BLVD
LONGMONT
CO
805018522
Provider Mailing Phone/Fax
Phone: | 3035323488 |
Fax: |