Individual
MARIO ANTHONY CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 476-0214
(719) 543-7863
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 476-0214
(719) 543-7863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0024951
CO
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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