NPI 1023420064

Mark Taber, RPH

Practitioner Pharmacist Wheat Ridge, CO

Practice location

Address: 3895 Upham St, Wheat Ridge, CO 80033-4651
Phone: (303) 252-7990

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 16351 (CO)

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Registry record

NPI: 1023420064
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 May 2014
Record last updated: 27 May 2014

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.