Provider Demographics
NPI:1063512770
Name:COLFLESH, HELEN ANN (RPH)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:ANN
Last Name:COLFLESH
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 1:47 NAYLOR BLUE CT
Mailing Address - Street 2:
Mailing Address - City:PORT DEPOSIT
Mailing Address - State:MD
Mailing Address - Zip Code:21904-1229
Mailing Address - Country:US
Mailing Address - Phone:410-378-5518
Mailing Address - Fax:
Practice Address - Street 1:VAMHCS BLDG 361
Practice Address - Street 2:
Practice Address - City:PERRYPOINT
Practice Address - State:MD
Practice Address - Zip Code:21902-1015
Practice Address - Country:US
Practice Address - Phone:410-642-2411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist