Individual
SOU ANN NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
111 E PLATTE AVE, FORT MORGAN, CO 80701-2128
(407) 399-6155
Mailing address
111 E PLATTE AVE, FORT MORGAN, CO 80701-2128
(970) 542-9345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0022449
CO
Other
Enumeration date
11/19/2019
Last updated
11/20/2019
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