Individual
PAULA R KOTULOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 BONFORTE BLVD, PUEBLO, CO 81001-1856
(719) 544-9998
(719) 544-4929
Mailing address
1013 BONFORTE BLVD, PUEBLO, CO 81001-1856
(719) 544-9998
(719) 544-4929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12637
CO
Other
Enumeration date
12/20/2011
Last updated
12/21/2011
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