Individual
SVETLANA VYACHESLAVOVNA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1580 E MAIN ST, CORTEZ, CO 81321-2934
(970) 564-1353
Mailing address
1580 E MAIN ST, CORTEZ, CO 81321-2934
(970) 564-1353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019814
CO
Other
Enumeration date
08/11/2013
Last updated
08/11/2013
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