Provider Demographics
NPI:1811274129
Name:ENRIGHT, COLLEEN M (RPH)
Entity type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:M
Last Name:ENRIGHT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15918 WOODMEADOW CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3731
Mailing Address - Country:US
Mailing Address - Phone:719-487-8649
Mailing Address - Fax:
Practice Address - Street 1:625 N 19TH ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-3459
Practice Address - Country:US
Practice Address - Phone:719-473-8834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15470183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist