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NPI Code Detail

MEDICARE: DR. MICHAEL HINNENKAMP PHARMD, RPH

MEDICARE: DR. MICHAEL HINNENKAMP PHARMD, RPH
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
1183500000XPharmacist20821CO

General Provider Information

NPI Number : 1811372519
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL HINNENKAMP PHARMD, RPH
Provider Business Mailing Address
First Line : 15051 E 104TH AVE
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-9706
Country : US
Telephone Number : 303-286-5470
Fax Number :
Provider Business Practice Location Address
First Line : 2750 S COLORADO BLVD
Second Line :
City : DENVER
State : CO
Zip : 80222-6602
Country : US
Telephone Number : 303-512-0449
Fax Number : 303-512-0626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2015
Last Update Date : 09/16/2020

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