MEDICARE: MARTINA BJORHUS

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	16794	CO

General Provider Information

NPI Number	:	1760825038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTINA BJORHUS

Provider Business Mailing Address
First Line	:	500 E BROMLEY LN
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-5505
Country	:	US
Telephone Number	:	303-655-7773
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 E BROMLEY LN
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-5505
Country	:	US
Telephone Number	:	303-655-7773
Fax Number	:

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

Provider Enumeration Date	:	04/16/2013
Last Update Date	:	05/07/2013

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Directions to “ MARTINA BJORHUS ” Practice Location

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