Individual ProviderAi Thuc HaPharmacistPharmacy Service ProvidersPractice Address10240 Park Meadows Dr, Lone Tree, CO 80124-5425(303) 649-5555PECOS EnrollmentBased on the most recent information from CMS, provider Ai Thuc Ha does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:48 AM.Profile DetailsProvider ID1578212544Provider TypeIndividualFull NameHa, Ai ThucTitleMrs.CredentialPHARMACIST, RPHGenderFemaleSole ProprietorNoEnumeration Date3/18/2022Last Updated3/18/2022Contact InformationPractice LocationPractice Address10240 Park Meadows Dr, Lone Tree, CO 80124-5425Phone(303) 649-5555FaxUnlisted FaxMailing LocationMailing Address10240 Park Meadows Dr, Lone Tree, CO 80124-5425PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense16616Colorado