Individual
MR. JOSEPH ANDREW GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, BSP
Contact information
Practice address
625 N 19TH ST, COLORADO SPRINGS, CO 80904-3459
(719) 473-8834
(719) 473-0445
Mailing address
723 CROWN RIDGE DR, COLORADO SPRINGS, CO 80904-1729
(719) 471-0646
(719) 471-0646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-11544
CO
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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