Individual
MELITON ANDREW TRUJILLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
4611 S ENSENADA ST, CENTENNIAL, CO 80015-5823
(303) 617-8187
Mailing address
4611 S ENSENADA ST, CENTENNIAL, CO 80015-5823
(303) 617-8187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11819
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11819
COLORADO STATE BOARD OF PHARMACY
CO
Enumeration date
06/14/2013
Last updated
06/14/2013
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