Healthcare Provider Details

I. General information

NPI: 1780087122
Provider Name (Legal Business Name): OANH THAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 SHERIDAN BLVD
ARVADA CO
80003-6645
US

IV. Provider business mailing address

8840 FLAGSTAFF ST
ARVADA CO
80007-7321
US

V. Phone/Fax

Practice location:
  • Phone: 303-428-1992
  • Fax: 303-429-2557
Mailing address:
  • Phone: 303-359-2977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20554
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: