Individual
LISA ANNE RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
71 SIPPRELLE DR, PARACHUTE, CO 81635-9232
(970) 285-5661
Mailing address
PO BOX 267, 50742 BEAR RUN DRIVE, MESA, CO 81643-0267
(970) 985-0715
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
14584
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043536014
—
CO
Enumeration date
12/06/2015
Last updated
12/06/2015
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