Individual
STEVEN CHARLES GILLISPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2900 W NORTHERN AVE, PUEBLO, CO 81005-2315
(719) 561-9728
Mailing address
686 S BAYFIELD AVE, PUEBLO, CO 81007-2798
(719) 547-9165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13014
CO
1835P1200X
Pharmacotherapy Pharmacist
013014
CO
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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