Individual
KELLY BAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 MARKET ST, ALAMOSA, CO 81101-2238
(719) 589-6656
Mailing address
131 MARKET ST, ALAMOSA, CO 81101-2238
(719) 589-6656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19865
CO
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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