Individual
ROBERT PHILLIP CARRUESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
87 CRAZY HORSE DR, DURANGO, CO 81301-3113
(970) 422-2502
Mailing address
87 CRAZY HORSE DR, DURANGO, CO 81301-3113
(970) 422-2502
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
00007894
NM
1835G0303X
Geriatric Pharmacist
RP00007894
NM
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP00007894
NM
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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