MEDICARE: LORI ANN AICHELE 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	13512	CO

General Provider Information

NPI Number	:	1164723896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI ANN AICHELE RPH

Provider Business Mailing Address
First Line	:	10300 N. FEDERAL BOULEVARD
Second Line	:
City	:	FEDERAL HEIGHTS
State	:	CO
Zip	:	80260-6101
Country	:	US
Telephone Number	:	303-469-0809
Fax Number	:	303-469-1429

Provider Business Practice Location Address
First Line	:	10300 FEDERAL BLVD
Second Line	:
City	:	FEDERAL HEIGHTS
State	:	CO
Zip	:	80260-6101
Country	:	US
Telephone Number	:	303-469-0809
Fax Number	:	303-469-1429

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

Provider Enumeration Date	:	11/11/2010
Last Update Date	:	11/11/2010

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