Provider Demographics
NPI:1578776951
Name:MESKE, MARY ELIZABETH (RPH)
Entity Type:Individual
Prefix:DR
First Name:MARY ELIZABETH
Middle Name:
Last Name:MESKE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:DR
Other - First Name:LIBBY
Other - Middle Name:
Other - Last Name:MESKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:10119 MEADOWBRIAR LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-7850
Mailing Address - Country:US
Mailing Address - Phone:303-737-5302
Mailing Address - Fax:303-801-5359
Practice Address - Street 1:8505 E ORCHARD RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-5002
Practice Address - Country:US
Practice Address - Phone:303-737-5302
Practice Address - Fax:303-801-5359
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11985183500000X, 1835P1200X, 302R00000X, 305R00000X, 305S00000X
282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered282N00000XHospitalsGeneral Acute Care Hospital
Not Answered302R00000XManaged Care OrganizationsHealth Maintenance Organization
Not Answered305R00000XManaged Care OrganizationsPreferred Provider Organization
Not Answered305S00000XManaged Care OrganizationsPoint of Service