Individual
KRISTIN G STAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2785 DUBLIN BLVD, COLORADO SPRINGS, CO 80918-1360
(719) 593-8940
(719) 598-3918
Mailing address
3824 BELL MOUNTAIN DR, CASTLE ROCK, CO 80104-7710
(720) 839-1954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14480
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000171948
—
CO
Enumeration date
10/31/2010
Last updated
08/19/2020
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