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1104151455
ANTONIO CORDOVA
PUEBLO, CO
NPI
1104151455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CO 16928)
Enumeration Date
2009-10-05
Last Update Date
2014-11-10
Business Address
-- ANTONIO CORDOVA PharmD
3670 PARKER BLVD SUITE 200
PUEBLO, CO 81008-2207
Phone number: 719-595-5367
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Mailing Address
-- ANTONIO CORDOVA PharmD
3670 PARKER BLVD
PUEBLO, CO 81008-2285
Phone number: 719-595-5367
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