Healthcare Provider Details

I. General information

NPI: 1083144844
Provider Name (Legal Business Name): JOLINE LOBATO PHARM.D, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 1ST ST
ALAMOSA CO
81101-2302
US

IV. Provider business mailing address

1710 1ST ST
ALAMOSA CO
81101-2302
US

V. Phone/Fax

Practice location:
  • Phone: 719-589-3633
  • Fax: 719-589-6072
Mailing address:
  • Phone: 719-589-3633
  • Fax: 719-589-6072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21531
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: