Provider Demographics
NPI:1922004506
Name:WILKINS, BARBARA MARIA MAGDALENA (R PH)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:MARIA MAGDALENA
Last Name:WILKINS
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 N COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-2404
Mailing Address - Country:US
Mailing Address - Phone:970-412-6506
Mailing Address - Fax:970-482-2412
Practice Address - Street 1:209 N COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2404
Practice Address - Country:US
Practice Address - Phone:970-412-6506
Practice Address - Fax:970-482-2412
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13282183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist