Individual
ASHLEY NICOLE POKALLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1107 S LEMAY AVE STE 200, FORT COLLINS, CO 80524-3959
(970) 484-1757
(970) 484-9924
Mailing address
2001 S SHIELDS ST BLDG I, FORT COLLINS, CO 80526-1827
(970) 221-5255
(970) 221-5206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHA.0021877
CO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PHA.0021877
CO
1835P2201X
Ambulatory Care Pharmacist
25325
NC
Other
Enumeration date
08/11/2016
Last updated
07/16/2021
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