Individual
MRS. ZAIDA FENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 N UNION BLVD, COLORADO SPRINGS, CO 80909
(719) 442-2356
Mailing address
3574 CHERRY PLUM DR, COLORADO SPRINGS, CO 80920-2825
(719) 219-5767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15519
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FENNER1234
PHARMACIST
—
Enumeration date
12/22/2011
Last updated
12/22/2011
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