Provider Demographics
NPI:1629411533
Name:LENT, SHANNON H (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:H
Last Name:LENT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SHANNON
Other - Middle Name:LEE
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:1891 STATE HIGHWAY 7
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-8003
Mailing Address - Country:US
Mailing Address - Phone:303-729-4170
Mailing Address - Fax:303-655-0003
Practice Address - Street 1:1891 STATE HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-8003
Practice Address - Country:US
Practice Address - Phone:303-729-4170
Practice Address - Fax:303-729-4174
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist