=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346523222
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HELEN ASUQUO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/27/2011
-----------------------------------------------------
Last Update Date | 09/27/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 360 S COLOARDO BLVD
-----------------------------------------------------
City | GLENDALE
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80246
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-258-8203
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 23452 E BRIARWOOD DR
-----------------------------------------------------
City | AURORA
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80016-2477
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-754-0850
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 18779
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------