Individual ProviderCasey Superchi PattersonPharmacistPharmacy Service ProvidersPractice Address9229 E Lincoln Ave, Lone Tree, CO 80124-5502(036) 499-7493PECOS EnrollmentBased on the most recent information from CMS, provider Casey Superchi Patterson 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 ID1699053439Provider TypeIndividualFull NamePatterson, Casey SuperchiCredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date7/27/2011Last Updated1/3/2019Contact InformationPractice LocationPractice Address9229 E Lincoln Ave, Lone Tree, CO 80124-5502Phone(036) 499-7493Fax(970) 870-1684Mailing LocationMailing Address9229 E Lincoln Ave, Lone Tree, CO 80124-5502Phone(036) 499-7493Fax(970) 870-1684Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense19149Colorado