MEDICARE: MS. KIMBERLEE LYNEE GRAPER RPH

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	15545	DC

General Provider Information

NPI Number	:	1871876599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIMBERLEE LYNEE GRAPER RPH

Provider Business Mailing Address
First Line	:	24250 E SMOKY HILL RD
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-1381
Country	:	US
Telephone Number	:	303-524-3778
Fax Number	:	303-524-3784

Provider Business Practice Location Address
First Line	:	24250 E SMOKY HILL RD
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-1381
Country	:	US
Telephone Number	:	303-524-3778
Fax Number	:	303-524-3784

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

Provider Enumeration Date	:	09/20/2011
Last Update Date	:	09/20/2011

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