NPI 1003085952

Raymond Alan Wodicka, RPH

Practitioner Pharmacist Lakewood, CO

Practice location

Address: 2110 Willow Ln, Lakewood, CO 80215-1025
Phone: (303) 547-6010

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 10014 (CO)

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Registry record

NPI: 1003085952
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Feb 2008
Record last updated: 9 Feb 2011

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.