Individual
MISS NICOLE ANN RUBALCABA-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
78 N MCCULLOCH BLVD, PUEBLO WEST, CO 81007-4444
(719) 647-9925
Mailing address
78 N MCCULLOCH BLVD, PUEBLO, CO 81007-4444
(719) 250-6881
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19263
CO
Other
Enumeration date
12/08/2011
Last updated
11/19/2021
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