Individual
LORI HENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3103 S 23RD AVE, GREELEY, CO 80631
(970) 330-4557
Mailing address
3103 S 23RD AVE, GREELEY, CO 80631-8702
(970) 330-4557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14912
CO
Other
Enumeration date
11/07/2006
Last updated
04/13/2019
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