Provider Demographics
NPI:1215396932
Name:RARITY, KYLEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KYLEE
Middle Name:
Last Name:RARITY
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 1:601 ENGLEWOOD PKWY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2374
Mailing Address - Country:US
Mailing Address - Phone:303-789-7210
Mailing Address - Fax:
Practice Address - Street 1:601 ENGLEWOOD PKWY
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2374
Practice Address - Country:US
Practice Address - Phone:303-789-7210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20264183500000X
CO26023618A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist