Michelle Bridges
Individual provider Active NPI Pharmacist · Salida, CO
NPI 1073932729 · NPPES record last updated Apr 9, 2014
Key facts
- NPI
- 1073932729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13003 (CO)
- Practice address
- 12395 County Road 140
Salida, CO 81201-9474 - Phone
- (719) 221-9790
- NPI assigned
- Apr 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13003 | CO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13003 | CO | Yes |
Addresses
Primary practice location
12395 County Road 140
Salida, CO 81201-9474
Mailing address
12395 County Road 140
Salida, CO 81201-9474
Phone (719) 221-9790
Other providers in Salida, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.