Individual
ALLISEN MAE COLE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
180 S ELM AVE, EATON, CO 80615-8273
(970) 454-2210
(970) 454-2210
Mailing address
PO BOX 104, EATON, CO 80615-0104
(970) 454-2110
(970) 454-1943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16901
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08222833
—
CO
05
—
1831119452
—
CO
Enumeration date
05/23/2017
Last updated
06/16/2018
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