NPI 1518558741
Charles Marvin Bryant
Practice location
- Address
- 2730 S Prairie Ave, Pueblo, CO 81005-3167
- Phone
- (719) 696-6159
- Fax
- (719) 696-6170
- Mailing address
- 1609 Zuni Rd, Pueblo, CO 81001-1620
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1518558741
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Jan 2021
- Record last updated
- 30 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.