Healthcare Provider Details

I. General information

NPI: 1487954319
Provider Name (Legal Business Name): JAMES F ZUGELDER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2010
Last Update Date: 10/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 S PRAIRIE AVE
PUEBLO CO
81005-2022
US

IV. Provider business mailing address

19911 E CASPIAN CIR
AURORA CO
80013-6284
US

V. Phone/Fax

Practice location:
  • Phone: 719-561-4407
  • Fax: 719-561-1294
Mailing address:
  • Phone: 719-561-4407
  • Fax: 719-561-1294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15789
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: