IndividualActive
Matt Thielbar, PHARMD
NPI 1659736429 · Pharmacotherapy Pharmacist · Pueblo, CO
Provider details
- NPI number
- 1659736429
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 17822 (CO)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
400 W 16th St
Pueblo, CO 81003-2745
Phone: (719) 584-1309
Approximate (ZIP-level) locationGet directions
Mailing address
400 W 16th St
Pueblo, CO 81003-2745
Registry dates
- Enumerated
- 2015-12-22
- Last updated
- 2015-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.