Individual
EMMELINE CORPUS ACADEMIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1635 AURORA CT, AURORA, CO 80045-2541
(720) 848-0000
Mailing address
13650 E COLFAX AVE APT 3523, AURORA, CO 80011-6931
(510) 962-2213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0022256
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA.0022256
COLORADO REGISTERED PHARMACIST
CO
Enumeration date
06/17/2019
Last updated
06/17/2019
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