NPI 1043597297

Eric Ticen, RPH

Practitioner Pharmacist Thornton, CO

Practice location

Address: 9236 Welby Circle, Thornton, CO 80229-4285
Phone: (303) 471-4406
Mailing address: 9236 Welby Cir, Thornton, CO 80229-4285

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 15183 (CO)

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Registry record

NPI: 1043597297
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2011
Record last updated: 20 Nov 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.