MEDICARE: SUSAN KRESGE 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	P8894	ID

General Provider Information

NPI Number	:	1346868965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN KRESGE PHARMD

Provider Business Mailing Address
First Line	:	3753 DACORO LANE
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-3525
Country	:	US
Telephone Number	:	720-586-6901
Fax Number	:

Provider Business Practice Location Address
First Line	:	3753 DACORO LANE
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-3525
Country	:	US
Telephone Number	:	720-586-6901
Fax Number	:

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

Provider Enumeration Date	:	07/09/2020
Last Update Date	:	08/25/2025

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Directions to “ SUSAN KRESGE PHARMD” Practice Location

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