Individual
ANTONIO CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3670 PARKER BLVD, SUITE 200, PUEBLO, CO 81008-2207
(719) 595-5367
Mailing address
3670 PARKER BLVD, PUEBLO, CO 81008-2285
(719) 595-5367
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16928
CO
Other
Enumeration date
10/05/2009
Last updated
11/10/2014
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