Individual
MR. LOUIS CARL FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH. MS, JD.
Contact information
Practice address
6 TOWN PLZ, DURANGO, CO 81301-5104
(970) 247-2921
(970) 259-3847
Mailing address
6 TOWN PLZ, DURANGO, CO 81301-5104
(970) 247-2921
(970) 259-3847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15753
CO
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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