Provider Demographics
NPI:1083144844
Name:LOBATO, JOLINE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:JOLINE
Middle Name:
Last Name:LOBATO
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 SOLAR AVE
Mailing Address - Street 2:
Mailing Address - City:MONTE VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81144-1066
Mailing Address - Country:US
Mailing Address - Phone:719-852-9894
Mailing Address - Fax:719-852-9897
Practice Address - Street 1:222 SOLAR AVE
Practice Address - Street 2:
Practice Address - City:MONTE VISTA
Practice Address - State:CO
Practice Address - Zip Code:81144-1066
Practice Address - Country:US
Practice Address - Phone:719-852-9894
Practice Address - Fax:719-852-9897
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM8488333600000X
CO215313336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy