NPI 1972832277

Kushmart

Organisation Non-Pharmacy Dispensing Site Denver, CO

Practice location

Address: 4095 Jackson St, Denver, CO 80216-6522
Phone: (702) 630-1610

Authorised official

Name: William Scott Johnson
Title: Owner
Phone: (702) 630-1610

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 427721 (CO)

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Registry record

NPI: 1972832277
Entity type: Organization
NPI issued: 15 Dec 2009
Record last updated: 15 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.