Individual
IRENE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3960 MAIZELAND RD, COLORADO SPRINGS, CO 80909-1608
(719) 444-4774
(719) 227-9917
Mailing address
5708 APALOOSA DR, COLORADO SPRINGS, CO 80923-1115
(719) 963-9987
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13573
CO
Other
Enumeration date
11/11/2018
Last updated
11/11/2018
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