Provider Demographics
NPI:1912340134
Name:GOLNAR, PAUL V (RPH)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:V
Last Name:GOLNAR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-7909
Mailing Address - Country:US
Mailing Address - Phone:970-674-2840
Mailing Address - Fax:970-674-2834
Practice Address - Street 1:1520 MAIN ST
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-7909
Practice Address - Country:US
Practice Address - Phone:970-674-2840
Practice Address - Fax:970-674-2834
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist