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MR. BRYAN J. SALAZAR R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1437203601

Individual Registrant:
MR. BRYAN J. SALAZAR R.PH.
Gender: M
Sole Proprietor

Location and contact information for practice:
222 SOLAR AVE  MONTE VISTA, CO 81144-1066 US
Tel: 719-852-9894  Fax: --

Contact information for business:
3RD EL PASO PO BOX 485 ROMEO, CO 81148-0485 US
Tel: 719-843-5235  Fax: --

Registration Information:
NPI: 1437203601
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CO14307

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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