MEDICARE: DR. MEGAN KATHLEEN ORSBURN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0021904	CO

General Provider Information

NPI Number	:	1144748963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN KATHLEEN ORSBURN PHARMD

Provider Business Mailing Address
First Line	:	1600 IRON HORSE DR APT D201
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-5711
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	455 E WONDER VIEW AVE # B1
Second Line	:
City	:	ESTES PARK
State	:	CO
Zip	:	80517-8927
Country	:	US
Telephone Number	:	970-586-5577
Fax Number	:	970-586-0455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2017
Last Update Date	:	08/12/2020

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