Individual
ANTHONY JOHN OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3900 W NORTHERN AVE, PUEBLO, CO 81005-2518
(719) 564-4332
Mailing address
706 E EMERY DR, PUEBLO WEST, CO 81007-1250
(719) 547-7589
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
15279
CO
Other
Enumeration date
05/28/2011
Last updated
05/28/2011
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