Provider Demographics
NPI:1396536215
Name:RUTLEDGE, AUDREY MAE (PHARMD)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:MAE
Last Name:RUTLEDGE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:AUDREY
Other - Middle Name:
Other - Last Name:RUTLEDGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:21946 E QUINCY PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6814
Mailing Address - Country:US
Mailing Address - Phone:970-250-7749
Mailing Address - Fax:
Practice Address - Street 1:7901 E LOWRY BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6507
Practice Address - Country:US
Practice Address - Phone:303-752-5283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0018182183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty