Provider Demographics
NPI:1861919961
Name:BUXTON, ELIZABETH MULLEN (RPH, PHARMD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MULLEN
Last Name:BUXTON
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 REVERE CT W
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80549-1672
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7955 6TH ST.
Practice Address - Street 2:PO BOX 352
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549-0352
Practice Address - Country:US
Practice Address - Phone:970-568-7282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16873183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist