KMART PHRAMACY
Managed Care Organizations at Elizabeth St, Pueblo, CO

License number
Colorado 0013355
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: MR. SEYED ABOTALEB ALAVI RPH
Title: PHARMACIST
Phone: (719) 568-0470
Address
Address
3415 N Elizabeth St, Pueblo, CO 81008
National Provider ID: 1891159976
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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