MEDICARE: CYNTHIA DUMONT 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
1	183500000X	Pharmacist	PHA.0022306	CO

General Provider Information

NPI Number	:	1821578378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA DUMONT PHARMD

Provider Business Mailing Address
First Line	:	1599 ASPEN ST
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80020-1317
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8601 TURNPIKE DR UNIT 200
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-7044
Country	:	US
Telephone Number	:	303-428-7449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2018
Last Update Date	:	09/24/2019

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