Provider Demographics
NPI:1144748963
Name:ORSBURN, MEGAN KATHLEEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:KATHLEEN
Last Name:ORSBURN
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 1:1600 IRON HORSE DR APT D201
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-5711
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:455 E WONDER VIEW AVE # B1
Practice Address - Street 2:
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-8927
Practice Address - Country:US
Practice Address - Phone:970-586-5577
Practice Address - Fax:970-586-0455
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0021904183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist