Individual
NICHOLE TANYA BELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
691 E EMPIRE ST # 81321, CORTEZ, CO 81321-2802
(970) 565-7946
Mailing address
691 E EMPIRE ST # 81321, CORTEZ, CO 81321-2802
(970) 565-7946
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0018697
CO
183500000X
Pharmacist
Primary
15063
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018697
CO LICENSE
CO
01
—
15063
WI LICENSE
WI
Enumeration date
03/05/2008
Last updated
05/03/2024
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