John Charles Theisen, PHARMD
NPI #1003442534 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1003442534
- Entity Type
- Individual
- Name
- John Charles Theisen, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Mar 16, 2020
- Last Updated
- Mar 16, 2020
Practice Location
- Address
- 3143 W COLORADO AVE
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80904-2040
- Phone
- (719) 632-7112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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