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NPI Code Detail

MEDICARE: AMANDA JEAN FICK PHARMD

MEDICARE: AMANDA JEAN FICK 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
1183500000XPharmacistPHA19154CO
2183500000XPharmacist1-15571KS

General Provider Information

NPI Number : 1629485800
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA JEAN FICK PHARMD
Provider Business Mailing Address
First Line : 12345 W 61ST AVE
Second Line :
City : ARVADA
State : CO
Zip : 80004-4118
Country : US
Telephone Number : 720-628-1548
Fax Number :
Provider Business Practice Location Address
First Line : 1375 S BOULDER RD
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-2344
Country : US
Telephone Number : 303-673-1818
Fax Number : 303-673-1981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2014
Last Update Date : 03/28/2015

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Directions to “ AMANDA JEAN FICK PHARMD” Practice Location

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