MEDICARE: DR. ROBERT LEE PAGE II PHARM.D., BCPS

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	1835P1200X	Pharmacotherapy Pharmacist	15337	CO
2	1835P1200X	Pharmacotherapy Pharmacist	8554	SC

General Provider Information

NPI Number	:	1619970977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT LEE PAGE II PHARM.D., BCPS

Provider Business Mailing Address
First Line	:	7665 E GUNNISON PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5626
Country	:	US
Telephone Number	:	303-315-0241
Fax Number	:	303-315-4630

Provider Business Practice Location Address
First Line	:	7665 E GUNNISON PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5626
Country	:	US
Telephone Number	:	303-315-0241
Fax Number	:	303-315-4630

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/08/2007

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