Individual
BRENDAN MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 W 29TH ST, PUEBLO, CO 81008-1002
(719) 544-0870
Mailing address
102 W 29TH ST, PUEBLO, CO 81008-1002
(719) 544-0870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0021364
CO
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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