Individual
LISA HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
958 HAILEY LN, PUEBLO WEST, CO 81007-4438
(719) 404-0081
Mailing address
958 HAILEY LN, PUEBLO WEST, CO 81007-4438
(719) 404-0081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18129
NV
183500000X
Pharmacist
3532
WY
183500000X
Pharmacist
Primary
PHA.0019362
CO
183500000X
Pharmacist
RPH-0013046
OR
183500000X
Pharmacist
S018885
AZ
Other
Enumeration date
10/14/2011
Last updated
05/30/2013
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