MEDICARE: KATRINA AGUDO PHARMD

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	0202222404	VA
2	183500000X	Pharmacist	PHA.0025338	CO

General Provider Information

NPI Number	:	1477374684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA AGUDO PHARMD

Provider Business Mailing Address
First Line	:	890 S MONACO PKWY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-1569
Country	:	US
Telephone Number	:	303-333-1545
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 LEETSDALE DR
Second Line	:
City	:	GLENDALE
State	:	CO
Zip	:	80246-1311
Country	:	US
Telephone Number	:	303-320-3110
Fax Number	:

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

Provider Enumeration Date	:	10/21/2024
Last Update Date	:	06/08/2026

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Directions to “ KATRINA AGUDO PHARMD” Practice Location

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