Healthcare Provider Details

I. General information

NPI: 1104100700
Provider Name (Legal Business Name): KAREN RETSKY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2011
Last Update Date: 10/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 N UNION BLVD
COLORADO SPRINGS CO
80909-5704
US

IV. Provider business mailing address

350 N UNION BLVD
COLORADO SPRINGS CO
80909-5704
US

V. Phone/Fax

Practice location:
  • Phone: 719-442-2356
  • Fax: 719-442-2396
Mailing address:
  • Phone: 719-442-2356
  • Fax: 719-442-2396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18612
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: