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NPI Code Detail

MEDICARE: CARRIE FEICKERT

MEDICARE: CARRIE FEICKERT
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
1183500000XPharmacist18124CO

General Provider Information

NPI Number : 1750658654
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE FEICKERT
Provider Business Mailing Address
First Line : 1601 W 84TH AVE
Second Line :
City : FEDERAL HEIGHTS
State : CO
Zip : 80260-5001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1601 W 84TH AVE
Second Line :
City : FEDERAL HEIGHTS
State : CO
Zip : 80260-5001
Country : US
Telephone Number : 303-426-4994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2011
Last Update Date : 11/19/2011

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Directions to “ CARRIE FEICKERT ” Practice Location

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