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1770271918
RUSSELL WILLIAM FANKHOUSER
WHEAT RIDGE, CO
NPI
1770271918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CO PHA0024391)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
RUSSELL WILLIAM FANKHOUSER PharmD
4401 WADSWORTH BLVD
WHEAT RIDGE, CO 80033-3302
Phone number: 303-463-7719
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Mailing Address
RUSSELL WILLIAM FANKHOUSER PharmD
10020 W 8TH PL
LAKEWOOD, CO 80215-5713
Phone number: 423-335-0521
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