Provider Demographics
NPI:1871741686
Name:MEISTER, MISTY R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MISTY
Middle Name:R
Last Name:MEISTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 E VERMIJO AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2208
Mailing Address - Country:US
Mailing Address - Phone:719-520-7590
Mailing Address - Fax:719-520-7596
Practice Address - Street 1:27 E VERMIJO AVE STE 5
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2208
Practice Address - Country:US
Practice Address - Phone:719-520-7590
Practice Address - Fax:719-520-7596
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15927183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist