Provider Demographics
NPI:1962099853
Name:RICE-SCHLESINGER, TAE L (PHARMD)
Entity type:Individual
Prefix:
First Name:TAE
Middle Name:L
Last Name:RICE-SCHLESINGER
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 1:1355 KRAMERIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-2729
Mailing Address - Country:US
Mailing Address - Phone:303-388-1689
Mailing Address - Fax:
Practice Address - Street 1:1355 KRAMERIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-2729
Practice Address - Country:US
Practice Address - Phone:303-388-1689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-25
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0022834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000209837Medicaid