Individual
SHANNON ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11801 YORK ST UNIT 1335, THORNTON, CO 80233-2348
(719) 859-0165
Mailing address
11801 YORK ST UNIT 1335, THORNTON, CO 80233-2348
(719) 859-0165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019871
CO
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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