Provider Demographics
NPI:1811995459
Name:STUMP, AMY L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:L
Last Name:STUMP
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3519 RICHMOND DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5995
Mailing Address - Country:US
Mailing Address - Phone:970-204-0300
Mailing Address - Fax:970-226-9041
Practice Address - Street 1:1113 OAKRIDGE DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5591
Practice Address - Country:US
Practice Address - Phone:970-225-0040
Practice Address - Fax:970-225-2996
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COPHA00197491835P0018X
IN26024356A1835P0018X
NC168861835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist