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DONNA N CONSTANCE RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1518267517
Individual Registrant: DONNA N CONSTANCE RPH
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
232 G ST SALIDA, CO 81201-2019 US
Tel: 719-539-6933 Fax: --
Tel: 719-539-6933 Fax: --
Contact information for business:
232 G ST SALIDA, CO 81201-2019 US
Tel: 719-539-6933 Fax: --
Tel: 719-539-6933 Fax: --
Registration Information:
NPI: 1518267517
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CO | 17267 |
| N | 183500000X | Pharmacy Service Providers Pharmacist | MI | 5302021146 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
