Individual
MR. BRYAN J. SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
222 SOLAR AVE, MONTE VISTA, CO 81144-1066
(719) 852-9894
Mailing address
3RD EL PASO, PO BOX 485, ROMEO, CO 81148-0485
(719) 843-5235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14307
CO
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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