Individual
SILA BISHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3570 HARTSEL DR, COLORADO SPRINGS, CO 80920-4165
(719) 590-7515
Mailing address
3570 HARTSEL DR, COLORADO SPRINGS, CO 80920-4165
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
23735
CO
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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