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NPI Code Detail

MEDICARE: ANGELA WYNETTE DAVIS PHAMRD

MEDICARE:   ANGELA WYNETTE DAVIS  PHAMRD
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
1183500000XPharmacist18288NC
2183500000XPharmacist17511CO

General Provider Information

NPI Number : 1790914745
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA WYNETTE DAVIS PHAMRD
Provider Business Mailing Address
First Line : 17761 COTTONWOOD DR
Second Line :
City : PARKER
State : CO
Zip : 80134-3925
Country : US
Telephone Number : 303-334-9548
Fax Number :
Provider Business Practice Location Address
First Line : 17761 COTTONWOOD DR
Second Line :
City : PARKER
State : CO
Zip : 80134-3925
Country : US
Telephone Number : 303-334-9548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2009
Last Update Date : 08/30/2025

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Directions to “ ANGELA WYNETTE DAVIS PHAMRD” Practice Location

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