Provider Demographics
NPI:1770926800
Name:TABAN, HILDA (PHARMD)
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:
Last Name:TABAN
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 1:100 FOUNDERS PKWY
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-7528
Mailing Address - Country:US
Mailing Address - Phone:303-669-0768
Mailing Address - Fax:
Practice Address - Street 1:100 FOUNDERS PKWY
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-7528
Practice Address - Country:US
Practice Address - Phone:303-663-0768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17772183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist