MEDICARE: DR. COLLIN DAVIS LEMMER 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	22808	CO

General Provider Information

NPI Number	:	1346844578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COLLIN DAVIS LEMMER PHARMD

Provider Business Mailing Address
First Line	:	3300 DILLON DR
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81008-1040
Country	:	US
Telephone Number	:	719-696-6685
Fax Number	:	719-309-5784

Provider Business Practice Location Address
First Line	:	3300 DILLON DR
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81008-1040
Country	:	US
Telephone Number	:	719-696-6685
Fax Number	:	719-309-5784

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

Provider Enumeration Date	:	11/29/2020
Last Update Date	:	11/29/2020

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Directions to “ DR. COLLIN DAVIS LEMMER PHARMD” Practice Location

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