Healthcare Provider Details

I. General information

NPI: 1578776951
Provider Name (Legal Business Name): MARY ELIZABETH MESKE R.PH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LIBBY MESKE R.PH

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8505 E ORCHARD RD
GREENWOOD VILLAGE CO
80111-5002
US

IV. Provider business mailing address

10119 MEADOWBRIAR LN
HIGHLANDS RANCH CO
80126-7850
US

V. Phone/Fax

Practice location:
  • Phone: 303-737-5302
  • Fax: 303-801-5359
Mailing address:
  • Phone: 303-737-5302
  • Fax: 303-801-5359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11985
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number11985
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number11985
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number11985
License Number StateCO
# 6
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number11985
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: