MEDICARE: ALLISON NICOLE HERBST PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0023730	CO

General Provider Information

NPI Number	:	1073282208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON NICOLE HERBST PHARMD

Provider Business Mailing Address
First Line	:	1008 SUMMIT BLVD
Second Line	:
City	:	FRISCO
State	:	CO
Zip	:	80443-5883
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1008 SUMMIT BLVD
Second Line	:
City	:	FRISCO
State	:	CO
Zip	:	80443-5883
Country	:	US
Telephone Number	:	970-668-9980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2021
Last Update Date	:	09/10/2021

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