Individual
LISA RENEA REDWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3010 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4400
(970) 945-5114
Mailing address
PO BOX 443, SILT, CO 81652-0443
(678) 431-1611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0022124
CO
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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