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Individual

JOHN JOSEPH CERNAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
1910 SANTA FE DR, PUEBLO, CO 81006-1452
(719) 542-2477
(719) 544-4469
Mailing address
1910 SANTA FE DR, PUEBLO, CO 81006-1452
(719) 542-2477
(719) 544-4469

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8407
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03094299
CO
Enumeration date
10/25/2018
Last updated
04/13/2023
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