Individual
LAURA PULTORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1311 N MILDRED RD, CORTEZ, CO 81321-2299
(970) 564-2190
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2299
(970) 564-2190
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
PHA.0021961
CO
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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