Healthcare Provider Details

I. General information

NPI: 1922442136
Provider Name (Legal Business Name): MR. MICHAEL SCOTT RORICK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12350 W 64TH AVE
ARVADA CO
80004-4016
US

IV. Provider business mailing address

12350 W 64TH AVE
ARVADA CO
80004-4016
US

V. Phone/Fax

Practice location:
  • Phone: 303-422-1476
  • Fax: 303-403-2882
Mailing address:
  • Phone: 303-422-1476
  • Fax: 303-403-2882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16114
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: