Provider Demographics
NPI:1073789319
Name:ZIUS, MARY KAY (RPH)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:KAY
Last Name:ZIUS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 S COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-8006
Mailing Address - Country:US
Mailing Address - Phone:303-722-5793
Mailing Address - Fax:303-698-7912
Practice Address - Street 1:825 S COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-8006
Practice Address - Country:US
Practice Address - Phone:303-722-5793
Practice Address - Fax:303-698-7912
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13831183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist