Individual
HA NA NOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 S CHELTON RD, COLORADO SPRINGS, CO 80916-5304
(719) 570-1618
Mailing address
6109 DESOTO DR, COLORADO SPRINGS, CO 80922-1804
(713) 874-4786
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57180
TX
183500000X
Pharmacist
PHA.0024010
CO
Other
Enumeration date
12/28/2015
Last updated
11/16/2022
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