Individual
DANIEL BALLOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3050 W NORTHERN AVE, PUEBLO, CO 81005-2317
(719) 564-0491
Mailing address
3050 W NORTHERN AVE, PUEBLO, CO 81005-2317
(719) 564-0491
(719) 560-7222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0025452
CO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PHA.0025452
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
06/14/2026
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