Individual
DR. MELANIE GRACE CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
505 S BROADWAY, DENVER, CO 80209-4093
(303) 722-5205
(303) 722-5209
Mailing address
505 S BROADWAY, DENVER, CO 80209-4093
(303) 722-5205
(303) 722-5209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18546
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54305721
—
CO
Enumeration date
06/19/2019
Last updated
06/19/2019
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