Provider Demographics
NPI:1538435078
Name:TONER, RENEE MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:MARIE
Last Name:TONER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:RENEE
Other - Middle Name:MARIE
Other - Last Name:HIMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:13650 VIA VARRA RD
Mailing Address - Street 2:#303
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020
Mailing Address - Country:US
Mailing Address - Phone:217-377-8804
Mailing Address - Fax:
Practice Address - Street 1:1601 COALTON ROAD
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027
Practice Address - Country:US
Practice Address - Phone:303-543-1153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA-19376183500000X
IL051294653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist