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NPI Code Detail

MEDICARE: MEAGAN VELGERSDYK

MEDICARE: MEAGAN VELGERSDYK
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
1183500000XPharmacist18462CO

General Provider Information

NPI Number : 1316204019
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGAN VELGERSDYK
Provider Business Mailing Address
First Line : 220 ELIZABETH ST
Second Line :
City : ELIZABETH
State : CO
Zip : 80107-7562
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 220 ELIZABETH ST
Second Line :
City : ELIZABETH
State : CO
Zip : 80107-7562
Country : US
Telephone Number : 303-646-0656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2012
Last Update Date : 04/18/2012

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Directions to “ MEAGAN VELGERSDYK ” Practice Location

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