Individual
NICK SAM ROUGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
25140 E US HIGHWAY 50, PUEBLO, CO 81006-9737
(719) 544-1371
(719) 546-1961
Mailing address
25140 E US HIGHWAY 50, PUEBLO, CO 81006-9737
(719) 544-1371
(719) 546-1961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-8888
CO
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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