Provider Demographics
NPI:1194097204
Name:BAGLEY, CHRISTINE LEIGH (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:LEIGH
Last Name:BAGLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7320 E 8TH AVE UNIT 5
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6248
Mailing Address - Country:US
Mailing Address - Phone:770-595-1065
Mailing Address - Fax:
Practice Address - Street 1:1400 S HAVANA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4014
Practice Address - Country:US
Practice Address - Phone:303-755-6614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-04
Last Update Date:2012-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18786183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist