Provider Demographics
NPI:1790085504
Name:RIZZI, JOANNE R (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:R
Last Name:RIZZI
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 1:7180 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-7654
Mailing Address - Country:US
Mailing Address - Phone:303-652-3715
Mailing Address - Fax:
Practice Address - Street 1:1050 KEN PRATT BLVD
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6362
Practice Address - Country:US
Practice Address - Phone:303-682-0598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14640183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist