Provider Demographics
NPI:1568798536
Name:MENGEL, BRITTANY L (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:L
Last Name:MENGEL
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 1:1313 S CLARKSON ST
Mailing Address - Street 2:APT 202
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2283
Mailing Address - Country:US
Mailing Address - Phone:303-888-6905
Mailing Address - Fax:
Practice Address - Street 1:1305 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3036
Practice Address - Country:US
Practice Address - Phone:303-888-6905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18048183500000X
PARP443584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist