Individual
JUAN GORDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2785 DUBLIN BLVD, COLORADO SPRINGS, CO 80918-1360
(719) 593-8940
Mailing address
2719 JON ST, COLORADO SPRINGS, CO 80907-6346
(719) 330-8799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14588
CO
183500000X
Pharmacist
Primary
PS27887
FL
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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