Provider Demographics
NPI:1104953264
Name:HUCKELS, TIFFANI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TIFFANI
Middle Name:
Last Name:HUCKELS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:TIFFANI
Other - Middle Name:
Other - Last Name:SCHILLING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:HAD
Mailing Address - Street 1:9850 EMBANKMENT TER
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN
Mailing Address - State:CO
Mailing Address - Zip Code:80817-8001
Mailing Address - Country:US
Mailing Address - Phone:719-930-1829
Mailing Address - Fax:
Practice Address - Street 1:9850 EMBANKMENT TER
Practice Address - Street 2:
Practice Address - City:FOUNTAIN
Practice Address - State:CO
Practice Address - Zip Code:80817-8001
Practice Address - Country:US
Practice Address - Phone:719-930-1829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16881183500000X
COHAD.0000555237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No183500000XPharmacy Service ProvidersPharmacist