Provider Demographics
NPI:1538437504
Name:SPAMPINATO, MARGARET RENEE (RPH)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:RENEE
Last Name:SPAMPINATO
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 1:6011 DEXTER STREET
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022
Mailing Address - Country:US
Mailing Address - Phone:720-214-0199
Mailing Address - Fax:
Practice Address - Street 1:6011 DEXTER ST
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-3125
Practice Address - Country:US
Practice Address - Phone:720-214-0199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12403183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO12403OtherCOLORADO BOARD OF PHARMACY LICENSE