Individual
ROBERT DAVID FIORENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
457 W MAIN ST, TRINIDAD, CO 81082-2623
(719) 846-3086
(719) 846-4087
Mailing address
313 GARRETT DR, TRINIDAD, CO 81082-9405
(719) 846-4785
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11312
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11312
COLORADO PHARMACY LICENSE
CO
Enumeration date
11/12/2010
Last updated
11/12/2010
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