Most Relevant Information
Provider Data
| NPI Number: | 1003320573 |
| Provider Name: | ALICIA HURST PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 16658 |
Most Important Dates
| Enumeration Date: | 11/20/2017 |
| Last Updated: | 11/20/2017 |
Provider Practice Location
3105 E HWY 50
CANON CITY
CO
812122797
Practice Location Phone/Fax
| Phone: | 7192751641 |
| Fax: |
Provider Mailing Location
3105 E HWY 50
CANON CITY
CO
812122797
Provider Mailing Phone/Fax
| Phone: | 7192751641 |
| Fax: |