Mr Paul Soderberg, RPH is a
Pharmacist based in Kremmling, Colorado. Mr Paul Soderberg is licensed to practice in Colorado (license number 15393) and his current practice location is
Pob 1302, 101 Martin Way, Kremmling, Colorado. He can be reached at his office (for appointments etc.) via phone at
(970) 724-3205.
NPI number for Mr Paul Soderberg is 1487903811 and his current mailing address is Po Box 1302, 308 10th St N., Kremmling, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487903811.
Healthcare Provider's Profile
| Full Name | Mr Paul Soderberg |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | Pob 1302, Kremmling, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487903811
- Provider Enumeration Date: 08/30/2012
- Last Update Date: 08/30/2012
Medical Identifiers
Medical identifiers for Mr Paul Soderberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487903811 | NPI | - | NPPES |
| 15393 | Other | CO | STATE BOARD OF PHARMACY-PHARMACIST LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 15393 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Paul Soderberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Paul Soderberg, RPH
Po Box 1302, 308 10th St N.,
Kremmling, CO 80459-1302
Ph: (970) 724-3205 | Mr Paul Soderberg, RPH
Pob 1302, 101 Martin Way,
Kremmling, CO 80459-1302
Ph: (970) 724-3205 |
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