Individual
ELAINE THANNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5885 BARNES RD, COLORADO SPRINGS, CO 80922-3512
(719) 264-5019
Mailing address
503 BANNER TRL, FLORISSANT, CO 80816-9267
(719) 687-9169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17908
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17908
DORA
CO
Enumeration date
01/25/2018
Last updated
01/25/2018
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