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NPI Code Detail

MEDICARE: ERIK WILLIS

MEDICARE: ERIK WILLIS
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
1183500000XPharmacist0023170CO

General Provider Information

NPI Number : 1518575398
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIK WILLIS
Provider Business Mailing Address
First Line : 7777 E YALE AVE APT J208
Second Line :
City : DENVER
State : CO
Zip : 80231-6063
Country : US
Telephone Number : 406-403-2107
Fax Number :
Provider Business Practice Location Address
First Line : 18550 GREEN VALLEY RANCH BLVD
Second Line :
City : DENVER
State : CO
Zip : 80249-6831
Country : US
Telephone Number : 720-214-1030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2020
Last Update Date : 07/17/2020

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Directions to “ ERIK WILLIS ” Practice Location

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