Healthcare Provider Details
I. General information
NPI: 1144508516
Provider Name (Legal Business Name): NATALIE KAY MUENZBERG PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/02/2011
Last Update Date: 08/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16601 E CENTRETECH PKWY
AURORA CO
80011-9045
US
IV. Provider business mailing address
16601 E CENTRETECH PKWY
AURORA CO
80011-9045
US
V. Phone/Fax
- Phone: 866-523-6059
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P0018X |
| Taxonomy | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| License Number | PHA-19152 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: