Provider Demographics
NPI:1497918700
Name:MERCER, KASINDA LEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KASINDA
Middle Name:LEE
Last Name:MERCER
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 1:2400 E MIDWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-7063
Mailing Address - Country:US
Mailing Address - Phone:303-404-3754
Mailing Address - Fax:
Practice Address - Street 1:2400 E MIDWAY BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80234-7063
Practice Address - Country:US
Practice Address - Phone:303-404-3754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist