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NPI Code Detail

MEDICARE: NICOLEENA MARIE GUTHRO R.PH

MEDICARE: NICOLEENA MARIE GUTHRO R.PH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist14440CO

General Provider Information

NPI Number : 1881257327
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLEENA MARIE GUTHRO R.PH
Provider Business Mailing Address
First Line : 2881 NORTH AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-5064
Country : US
Telephone Number : 970-241-6652
Fax Number : 970-255-8054
Provider Business Practice Location Address
First Line : 2881 NORTH AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-5064
Country : US
Telephone Number : 970-241-6652
Fax Number : 970-255-8054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2019
Last Update Date : 04/19/2019

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Directions to “ NICOLEENA MARIE GUTHRO R.PH” Practice Location

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