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NPI Code Detail

MEDICARE: REBECCA ZIPP

MEDICARE: REBECCA ZIPP
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
1183500000XPharmacist14423CO

General Provider Information

NPI Number : 1366885246
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ZIPP
Provider Business Mailing Address
First Line : 6110 FIRESTONE BLVD
Second Line :
City : FIRESTONE
State : CO
Zip : 80504-6425
Country : US
Telephone Number : 303-682-4170
Fax Number : 303-682-4171
Provider Business Practice Location Address
First Line : 6110 FIRESTONE BLVD
Second Line :
City : FIRESTONE
State : CO
Zip : 80504-6425
Country : US
Telephone Number : 303-682-4170
Fax Number : 303-682-4171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2013
Last Update Date : 04/10/2013

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Directions to “ REBECCA ZIPP ” Practice Location

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