Provider Demographics
NPI:1447421953
Name:MULCAIR, CHRISTINE SULLIVAN (RPH, BCPS)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:SULLIVAN
Last Name:MULCAIR
Suffix:
Gender:F
Credentials:RPH, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 STOVER ST
Mailing Address - Street 2:APT 18
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2798
Mailing Address - Country:US
Mailing Address - Phone:970-412-7697
Mailing Address - Fax:
Practice Address - Street 1:3501 STOVER ST
Practice Address - Street 2:APT 18
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2798
Practice Address - Country:US
Practice Address - Phone:970-412-7697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO165071835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy