RUSSELL WILLIAM FANKHOUSER

WHEAT RIDGE, CO
NPI1770271918
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CO  PHA0024391)
Enumeration Date2023-04-26
Last Update Date2023-04-26
Business Address
RUSSELL WILLIAM FANKHOUSER PharmD
4401 WADSWORTH BLVD
WHEAT RIDGE, CO 80033-3302
Phone number: 303-463-7719
Mailing Address
RUSSELL WILLIAM FANKHOUSER PharmD
10020 W 8TH PL
LAKEWOOD, CO 80215-5713
Phone number: 423-335-0521