Individual
TERRIE STONEBRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1750 W UINTAH ST STE A, COLORADO SPRINGS, CO 80904-2972
(719) 636-5046
(719) 633-9140
Mailing address
1750 W UINTAH ST STE A, COLORADO SPRINGS, CO 80904-2972
(719) 636-5046
(719) 633-9140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13979
CO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
13979
CO
Other
Enumeration date
10/11/2012
Last updated
09/30/2020
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