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NPI Code Detail

MEDICARE: PAMELA BRIDGE

MEDICARE: PAMELA BRIDGE
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
1183500000XPharmacist17048CO

General Provider Information

NPI Number : 1922381177
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA BRIDGE
Provider Business Mailing Address
First Line : 205 E EISENHOWER BLVD
Second Line :
City : LOVELAND
State : CO
Zip : 80537-3909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 205 E EISENHOWER BLVD
Second Line :
City : LOVELAND
State : CO
Zip : 80537-3909
Country : US
Telephone Number : 970-669-4444
Fax Number : 970-669-7851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2011
Last Update Date : 11/15/2019

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Directions to “ PAMELA BRIDGE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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