Provider Demographics
NPI:1932505187
Name:MENGERS, ANNE RACHEL (PHARMD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:RACHEL
Last Name:MENGERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:RACHEL
Other - Last Name:TREVITHICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1295 ESCALANTE DR UNIT 35
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81303-8906
Mailing Address - Country:US
Mailing Address - Phone:812-583-4399
Mailing Address - Fax:
Practice Address - Street 1:2701 MAIN AVE
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5921
Practice Address - Country:US
Practice Address - Phone:812-583-4399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0020633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist