Individual
HA NA NOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-6631
(719) 598-3578
Mailing address
3620 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-6631
(719) 598-3578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
57180
TX
183500000X
Pharmacist
Primary
PHA.0024010
CO
Other
Enumeration date
12/28/2015
Last updated
08/03/2026
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