Individual
MR. JOHN WHEELER ASHCRAFT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4112 OUTLOOK BLVD, RM 253, PUEBLO, CO 81008-1667
(719) 553-1078
Mailing address
4112 OUTLOOK BLVD, RM 253, PUEBLO, CO 81008-1667
(719) 553-1078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10948
CO
Other
Enumeration date
02/16/2008
Last updated
07/31/2008
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