Provider Demographics
NPI:1306201975
Name:SALMON, KRISTEN ELIZABETH (PHARMD)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:ELIZABETH
Last Name:SALMON
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 1:3333 ARAPAHOE RD # B
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-6006
Mailing Address - Country:US
Mailing Address - Phone:720-890-0425
Mailing Address - Fax:720-890-0641
Practice Address - Street 1:3333 ARAPAHOE RD # B
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-6006
Practice Address - Country:US
Practice Address - Phone:720-890-0425
Practice Address - Fax:720-890-0641
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-23
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22552183500000X
CO21281183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist