Individual
BARBARA SUE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
426 PAGOSO STREET, PAGOSA SPRINGS, CO 81147
(970) 246-4166
(970) 264-3289
Mailing address
426 PAGOSA ST, PAGOSA SPRINGS, CO 81147
(970) 264-4166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH 2719
HI
183500000X
Pharmacist
Primary
PHA18641
CO
183500000X
Pharmacist
RP00005756
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629043971
—
CO
01
—
1871658922
NPI
CO
Enumeration date
08/21/2009
Last updated
08/27/2010
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