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Individual

JOHN DAVID BUGLEWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1545 S PRAIRIE AVE, PUEBLO, CO 81005-2312
(719) 561-4405
(719) 561-0563
Mailing address
1545 S PRAIRIE AVE, PUEBLO, CO 81005-2312
(719) 561-4405
(719) 561-0563

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12012
CO

Other

Enumeration date
05/13/2017
Last updated
05/13/2017
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