Provider Demographics
NPI:1538403191
Name:MACGREGOR-MONSERUD, HAILEY ELIZABETH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HAILEY
Middle Name:ELIZABETH
Last Name:MACGREGOR-MONSERUD
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 1:16095 W 14TH PL
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-2926
Mailing Address - Country:US
Mailing Address - Phone:720-988-5520
Mailing Address - Fax:
Practice Address - Street 1:1701 JACKSON ST
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-1925
Practice Address - Country:US
Practice Address - Phone:303-278-2284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0019600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist