Provider Demographics
NPI:1992773360
Name:FUGIT, RANDOLPH VICTOR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RANDOLPH
Middle Name:VICTOR
Last Name:FUGIT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8764 FAIRVIEW OAKS LN
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-3109
Mailing Address - Country:US
Mailing Address - Phone:303-399-8020
Mailing Address - Fax:303-393-4624
Practice Address - Street 1:DENVER VETERANS AFFAIRS MEDICAL CENTER (119)
Practice Address - Street 2:1055 CLERMONT STREET
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220
Practice Address - Country:US
Practice Address - Phone:303-399-8020
Practice Address - Fax:303-393-4624
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM61161835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy