Laura Cardwell, PHARMD

Individual provider Active NPI Pharmacotherapy Pharmacist · Gypsum, CO

NPI 1104417922 · NPPES record last updated Feb 3, 2021

Key facts

NPI
1104417922
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacotherapy Pharmacist 1835P1200X
License
18378 (CO)
Practice address
130 Price Place
Gypsum, CO 81637-8163
Phone
(719) 232-5556
NPI assigned
Feb 3, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
18378COMDPharmacotherapy Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 18378 CO Yes

Addresses

Primary practice location

130 Price Place
Gypsum, CO 81637-8163

Mailing address

PO Box 1193
Gypsum, CO 81637-1193
Phone (720) 477-4147

Other providers in Gypsum, CO

All providers in Gypsum, CO · Pharmacotherapy Pharmacist in Colorado

Sources for this page

Verify at the official NPI Registry.