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MICHELLE BRIDGES

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1073932729

Individual Registrant:
 MICHELLE  BRIDGES 
Gender: F
Sole Proprietor

Location and contact information for practice:
12395 COUNTY ROAD 140  SALIDA, CO 81201-9474 US
Tel: 719-221-9790  Fax: --

Contact information for business:
12395 COUNTY ROAD 140  SALIDA, CO 81201-9474 US
Tel: 719-221-9790  Fax: --

Registration Information:
NPI: 1073932729
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CO13003

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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