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NPI Code Detail

MEDICARE: AMY E STADSTAD PHARM.D

MEDICARE: AMY E STADSTAD PHARM.D
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
1183500000XPharmacist15456CO

General Provider Information

NPI Number : 1659588069
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY E STADSTAD PHARM.D
Provider Business Mailing Address
First Line : 6517 S XENON ST
Second Line :
City : LITTLETON
State : CO
Zip : 80127-4822
Country : US
Telephone Number : 303-887-3035
Fax Number : 303-758-5389
Provider Business Practice Location Address
First Line : 2870 S COLORADO BLVD
Second Line :
City : DENVER
State : CO
Zip : 80222-6618
Country : US
Telephone Number : 303-758-5358
Fax Number : 303-758-5389
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 07/08/2007

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