Provider Demographics
NPI:1912289943
Name:ISOKOSKI, HANSA MARJATTA (RPH)
Entity type:Individual
Prefix:
First Name:HANSA
Middle Name:MARJATTA
Last Name:ISOKOSKI
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 1:1183 MARMOT DR
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:CO
Mailing Address - Zip Code:81432-8912
Mailing Address - Country:US
Mailing Address - Phone:720-341-9563
Mailing Address - Fax:
Practice Address - Street 1:112 VILLAGE SQ W UNIT 110
Practice Address - Street 2:
Practice Address - City:RIDGWAY
Practice Address - State:CO
Practice Address - Zip Code:81432-9241
Practice Address - Country:US
Practice Address - Phone:970-626-7100
Practice Address - Fax:970-252-3785
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18691183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist