Provider Demographics
NPI:1528958378
Name:VANDENBUSSCHE, KATARINA (PHARMD)
Entity type:Individual
Prefix:
First Name:KATARINA
Middle Name:
Last Name:VANDENBUSSCHE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KATARINA
Other - Middle Name:
Other - Last Name:ZIEGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:120 EDGEVIEW DR APT 4404
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8089
Mailing Address - Country:US
Mailing Address - Phone:952-210-1979
Mailing Address - Fax:
Practice Address - Street 1:11602 W 64TH AVE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4313
Practice Address - Country:US
Practice Address - Phone:303-421-5237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0025142183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist