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NPI Code Detail

MEDICARE: SUMMER BRYAN PHARMD

MEDICARE:   SUMMER  BRYAN  PHARMD
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
1183500000XPharmacistPHA-19573CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PHA19573OTHERCOSTATE LICENCE

General Provider Information

NPI Number : 1134562499
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER BRYAN PHARMD
Provider Business Mailing Address
First Line : 1155 E 9TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80218-4802
Country : US
Telephone Number : 303-832-5298
Fax Number : 303-764-3068
Provider Business Practice Location Address
First Line : 1155 E 9TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80218-4802
Country : US
Telephone Number : 303-832-5298
Fax Number : 303-764-3068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2013
Last Update Date : 04/16/2013

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Directions to “ SUMMER BRYAN PHARMD” Practice Location

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