Individual
VIXEN DEINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
6025 ERIN PARK DR, COLORADO SPRINGS, CO 80918-5400
(785) 766-8149
Mailing address
6025 ERIN PARK DR, COLORADO SPRINGS, CO 80918-5400
(785) 766-8149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-13959
KS
183500000X
Pharmacist
2006038102
MO
1835P1200X
Pharmacotherapy Pharmacist
Primary
PHA.00022196
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA.0022196
COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS & OCCUPATIONS
CO
Enumeration date
10/26/2012
Last updated
12/21/2018
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