Individual
STEPHANIE LYNN BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2600 11TH AVE, GREELEY, CO 80631-8441
(970) 475-0554
(970) 475-0644
Mailing address
2930 MOUNTAIN LION DR APT 306, LOVELAND, CO 80537-8960
(307) 760-7638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
3578
WY
183500000X
Pharmacist
Primary
PHA.0019590
CO
Other
Enumeration date
09/15/2012
Last updated
09/15/2012
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