Provider Demographics
NPI:1740612639
Name:POOLE, ALANDREA VEAZIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALANDREA
Middle Name:VEAZIE
Last Name:POOLE
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 1:7757 S POPLAR WAY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2540
Mailing Address - Country:US
Mailing Address - Phone:970-222-7622
Mailing Address - Fax:
Practice Address - Street 1:14 E ALLEN ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-7840
Practice Address - Country:US
Practice Address - Phone:303-663-6858
Practice Address - Fax:303-663-3438
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0022075183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist