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1124415500
LISA WITZKE
LONGMONT, CO
NPI
1124415500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CO 19663)
Enumeration Date
2015-04-23
Last Update Date
2015-04-23
Business Address
-- LISA WITZKE doctor of pharmacy
2148 SHERMAN ST
LONGMONT, CO 80501
Phone number: 720-217-5506
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Mailing Address
-- LISA WITZKE doctor of pharmacy
2148 SHERMAN ST
LONGMONT, CO 80501-1330
Phone number: 720-217-5506
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