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NPI Code Detail

MEDICARE: ADRIAN LARKIN BOKA PHARMD

MEDICARE: ADRIAN LARKIN BOKA PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5302040071MI
2183500000XPharmacist19081CO
31835P2201XAmbulatory Care Pharmacist0019081CO

General Provider Information

NPI Number : 1548559503
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIAN LARKIN BOKA PHARMD
Provider Business Mailing Address
First Line : 790 DELAWARE STREET
Second Line :
City : DENVER
State : CO
Zip : 80204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4995 E 33RD AVE
Second Line :
City : DENVER
State : CO
Zip : 80207-1902
Country : US
Telephone Number : 303-602-8113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2011
Last Update Date : 04/04/2024

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