Individual
PENELOPE AVRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 227-4366
(719) 227-4655
Mailing address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 227-4366
(719) 227-4655
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
14995
CO
1835P1200X
Pharmacotherapy Pharmacist
Primary
14995
CO
Other
Enumeration date
03/14/2013
Last updated
03/12/2015
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