Individual
CASSIDY LYNN PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4502 S COLLEGE AVE, FORT COLLINS, CO 80525-3025
(970) 337-0300
Mailing address
4502 S COLLEGE AVE, FORT COLLINS, CO 80525-3025
(970) 337-0300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19497
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19497
PHARMACIST LISCENSE
CO
Enumeration date
07/03/2013
Last updated
07/10/2013
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