MEDICARE: DR. JOHN SAMUEL GUARENTE 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	13888	CO

General Provider Information

NPI Number	:	1750162962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN SAMUEL GUARENTE PHARMD

Provider Business Mailing Address
First Line	:	7435 SISTERS GRV STE 310
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-2630
Country	:	US
Telephone Number	:	719-842-7682
Fax Number	:

Provider Business Practice Location Address
First Line	:	7435 SISTERS GRV STE 310
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-2630
Country	:	US
Telephone Number	:	719-842-7682
Fax Number	:

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

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	10/12/2023

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