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NPI Code Detail

MEDICARE: PAULETTE CAMPBELL

MEDICARE: PAULETTE CAMPBELL
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
1183500000XPharmacist22608MD

General Provider Information

NPI Number : 1952773418
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULETTE CAMPBELL
Provider Business Mailing Address
First Line : 4985 MOORHEAD AVE
Second Line : UNIT 3719
City : BOULDER
State : CO
Zip : 80305-9301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5190 W 120TH AVE
Second Line :
City : WESTMINSTER
State : CO
Zip : 80020-3332
Country : US
Telephone Number : 303-410-1105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2015
Last Update Date : 12/01/2022

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Directions to “ PAULETTE CAMPBELL ” Practice Location

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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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