Provider Demographics
NPI:1487954319
Name:ZUGELDER, JAMES F (RPH)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:ZUGELDER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19911 E CASPIAN CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-6284
Mailing Address - Country:US
Mailing Address - Phone:719-561-4407
Mailing Address - Fax:719-561-1294
Practice Address - Street 1:1231 S PRAIRIE AVE
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81005-2022
Practice Address - Country:US
Practice Address - Phone:719-561-4407
Practice Address - Fax:719-561-1294
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15789183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist