Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Laurence Evan Nisonoff, PHARMACIST

Individual provider Pharmacist · NPI 1598043382

Mr. Laurence Evan Nisonoff, PHARMACIST is a Pharmacist in Edwards, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2011

Practice location Address checks out

105 Edwards Village Blvd Ste G-107
Edwards, CO 81632-9914
Phone: (970) 476-7308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 13767 (CO)

Record details

NPI number1598043382
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedJuly 27, 2011
Last updated in NPPESJuly 27, 2011

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