Individual
MS. JULIE LARSON BROBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1231 S PRAIRIE AVE, PUEBLO, CO 81005-2001
(719) 561-4407
(719) 561-1294
Mailing address
1231 S PRAIRIE AVE, PUEBLO, CO 81005-2001
(719) 561-4407
(719) 561-1294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0021977
CO
183500000X
Pharmacist
116056
MN
Other
Enumeration date
11/08/2011
Last updated
05/12/2023
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