Provider Demographics
NPI:1114551017
Name:KIRKPATRICK, ANNA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 N US HIGHWAY 287
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8885
Mailing Address - Country:US
Mailing Address - Phone:720-890-7041
Mailing Address - Fax:720-890-4762
Practice Address - Street 1:309 N US HIGHWAY 287
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-8885
Practice Address - Country:US
Practice Address - Phone:720-890-7041
Practice Address - Fax:720-890-4762
Is Sole Proprietor?:No
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011030576183500000X
COPHA.0021116183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist