Provider Demographics
NPI:1740233550
Name:REPINE, JACQUELINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:
Last Name:REPINE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JACQUELINE
Other - Middle Name:
Other - Last Name:LEVINGSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15200 W. 64TH AVE
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007
Mailing Address - Country:US
Mailing Address - Phone:720-898-4232
Mailing Address - Fax:720-898-4237
Practice Address - Street 1:9983 WADSWORTH PKWY
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-4249
Practice Address - Country:US
Practice Address - Phone:303-424-7346
Practice Address - Fax:303-467-5658
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO168881835P1200X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy