Provider Demographics
NPI:1578650289
Name:EINHELLIG, VICKILEE KNIGHT (RPH)
Entity Type:Individual
Prefix:
First Name:VICKILEE
Middle Name:KNIGHT
Last Name:EINHELLIG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 EL CAMINITO CT
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-2625
Mailing Address - Country:US
Mailing Address - Phone:970-461-1975
Mailing Address - Fax:970-461-4042
Practice Address - Street 1:3780 E 15TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-8766
Practice Address - Country:US
Practice Address - Phone:970-461-1975
Practice Address - Fax:970-461-4042
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13465183500000X
IA16912183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist