Provider Demographics
NPI:1881257673
Name:STUART, LIGIA MARLYN (RPH)
Entity type:Individual
Prefix:MS
First Name:LIGIA
Middle Name:MARLYN
Last Name:STUART
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5650 S CHAMBERS RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1132
Mailing Address - Country:US
Mailing Address - Phone:303-693-7148
Mailing Address - Fax:303-693-7554
Practice Address - Street 1:5650 S CHAMBERS RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1132
Practice Address - Country:US
Practice Address - Phone:303-693-7148
Practice Address - Fax:303-693-7554
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16072183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist