Provider Demographics
NPI:1811605801
Name:MAGNELLI, MEREDITH LINDSAY (PHARMD)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:LINDSAY
Last Name:MAGNELLI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:LINDSAY
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6395 SHERIDAN BLVD
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-5231
Mailing Address - Country:US
Mailing Address - Phone:303-420-7545
Mailing Address - Fax:303-420-8603
Practice Address - Street 1:6395 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-5231
Practice Address - Country:US
Practice Address - Phone:303-420-7545
Practice Address - Fax:303-420-8603
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO21552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist