Provider Demographics
NPI:1225461254
Name:ROJO, MARTIN ALBERTO (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:ALBERTO
Last Name:ROJO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3709 W 68TH AVE APT 306E
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80030-6243
Mailing Address - Country:US
Mailing Address - Phone:928-580-4344
Mailing Address - Fax:
Practice Address - Street 1:315 W 2ND ST
Practice Address - Street 2:
Practice Address - City:LA JUNTA
Practice Address - State:CO
Practice Address - Zip Code:81050-1419
Practice Address - Country:US
Practice Address - Phone:719-384-6616
Practice Address - Fax:719-384-7610
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19973183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist