Individual
LENISE J MELLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
9153 BUGABOO DR, COLORADO SPRINGS, CO 80924-4552
(970) 556-8222
Mailing address
9153 BUGABOO DR, COLORADO SPRINGS, CO 80924-4552
(970) 556-8222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11099
KS
183500000X
Pharmacist
12607
CO
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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