NPI 1023764966

Michael Lynn Willey

Practitioner Pharmacist Thornton, CO

Practice location

Address: 4351 E 104th Ave, Thornton, CO 80233-4451
Phone: (303) 501-1725
Mailing address: 13430 Spruce St, Thornton, CO 80602-8469

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PHA.0012584 (CO)

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Registry record

NPI: 1023764966
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2022
Record last updated: 1 Mar 2022

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.