MEDICARE: ELENA ROSE SCHALLER 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
1	183500000X	Pharmacist	21345	CO

General Provider Information

NPI Number	:	1710426853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA ROSE SCHALLER PHARMD

Provider Business Mailing Address
First Line	:	1160 N CORONA ST
Second Line	:	APT 5
City	:	DENVER
State	:	CO
Zip	:	80218-2819
Country	:	US
Telephone Number	:	412-680-6664
Fax Number	:

Provider Business Practice Location Address
First Line	:	1160 N CORONA ST
Second Line	:	APT 5
City	:	DENVER
State	:	CO
Zip	:	80218-2819
Country	:	US
Telephone Number	:	412-680-6664
Fax Number	:

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

Provider Enumeration Date	:	02/22/2017
Last Update Date	:	02/22/2017

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