Individual
MELISSA BALIZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
318 S NICKLAUS DR, PUEBLO WEST, CO 81007-3627
Mailing address
1022 FORTINO BLVD UNIT 9562, PUEBLO, CO 81008-2322
(719) 280-2637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15877
CO
Other
Enumeration date
05/07/2015
Last updated
08/28/2022
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