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NPI Code Detail

MEDICARE: DR. ROBIN CHRISTINE WACKERNAH PHARM.D., BCPP

MEDICARE:  DR. ROBIN CHRISTINE WACKERNAH  PHARM.D., BCPP
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
11835P1300XPsychiatric Pharmacist19293CO

General Provider Information

NPI Number : 1598249153
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBIN CHRISTINE WACKERNAH PHARM.D., BCPP
Provider Business Mailing Address
First Line : 3425 S CLARKSON ST
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80113-2899
Country : US
Telephone Number : 303-789-8673
Fax Number :
Provider Business Practice Location Address
First Line : 3425 S CLARKSON ST
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80113-2899
Country : US
Telephone Number : 303-789-8673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2018
Last Update Date : 09/19/2018

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Directions to “ DR. ROBIN CHRISTINE WACKERNAH PHARM.D., BCPP” Practice Location

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