NPI 1124160049 · live from the CMS NPI Registry
Colleen M. Colegrove, R.Ph.
Pharmacist in Anchorage, AK. National Provider Identifier 1124160049, active.
NPI record
| NPI | 1124160049 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 2550 E 88th Ave, Anchorage, AK 99507 |
| Practice phone | 907-349-9292 |
| Mailing address | 19137 Nunivak Cir, Eagle River, AK 99577 |
| Enumerated | February 14, 2007 |
| Last updated | February 24, 2021 |
| Sole proprietor | No |
| Other names | Colleen Colegrove |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | RPH017478 (GA) |
| Pharmacist | 183500000X | 168417 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.