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NPI Code Detail

MEDICARE: GREG WRENCH

MEDICARE: GREG WRENCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist16085CO

General Provider Information

NPI Number : 1871548149
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREG WRENCH
Provider Business Mailing Address
First Line : 2750 S COLORADO BLVD
Second Line :
City : DENVER
State : CO
Zip : 80222-6602
Country : US
Telephone Number : 303-512-0936
Fax Number : 303-512-0626
Provider Business Practice Location Address
First Line : 2750 S COLORADO BLVD
Second Line :
City : DENVER
State : CO
Zip : 80222-6602
Country : US
Telephone Number : 303-512-0936
Fax Number : 303-512-0626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 04/09/2013

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Directions to “ GREG WRENCH ” Practice Location

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