Julie Ann Azcarraga, PHARM D
Individual provider Active NPI Pharmacist · Rifle, CO
NPI 1497319735 · NPPES record last updated Apr 23, 2019
Key facts
- NPI
- 1497319735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0017693 (CO)
- Practice address
- 1000 Airport Rd
Rifle, CO 81650-8407 - Phone
- (970) 625-8931
- NPI assigned
- Apr 23, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017693 | CO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0017693 | CO | Yes |
Addresses
Primary practice location
1000 Airport Rd
Rifle, CO 81650-8407
Mailing address
1000 Airport Rd
Rifle, CO 81650-8407
Phone (970) 625-8931
Other providers in Rifle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2019. 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.