Julie Larson Broberg, RPH
Pharmacist in Pueblo, CO. Individual provider (NPI-1).
NPI number1659658441
StatusActive
Last updated in NPPESMay 12, 2023
Details
- NPI
- 1659658441
- Entity type
- Individual (NPI-1)
- Name
- Ms. Julie Larson Broberg
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2011
- Certification date
- May 12, 2023
- Last updated
- May 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 0021977 | CO | Yes |
| 183500000X | Pharmacist | 116056 | MN |
Practice location
1231 S Prairie AvePueblo, CO 81005-2001
Phone 719-561-4407 · Fax 719-561-1294
Mailing address
1231 S Prairie AvePueblo, CO 81005-2001
Phone 719-561-4407 · Fax 719-561-1294
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