Individual
NATHAN CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1414 MAIN ST, CANON CITY, CO 81212-3906
(719) 275-7511
(719) 275-7161
Mailing address
1414 MAIN ST, CANON CITY, CO 81212-3906
(719) 275-7511
(719) 275-7161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14846
CO
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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