Lisa Rae Feagans, RPH

NPI #1174967608 in Pueblo, Colorado

Provider Information

NPI Number: 1174967608
Entity Type: Individual
Name: Lisa Rae Feagans, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Apr 26, 2013
Last Updated: May 7, 2013

Practice Location

Address: 3050 W NORTHERN AVE
City: Pueblo
State: Colorado
ZIP Code: 81005-2317
Phone: (719) 564-0491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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