Healthcare Provider Details

I. General information

NPI: 1104139583
Provider Name (Legal Business Name): OLIVIA CASTILLO RAPACCHIETTA PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2010
Last Update Date: 07/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16601 E CENTRETECH PKWY KAISER PERMANENTE CENTRAL SUPPORT SERVICES
AURORA CO
80011-9045
US

IV. Provider business mailing address

10044 W 81ST CIR
ARVADA CO
80005-5212
US

V. Phone/Fax

Practice location:
  • Phone: 303-344-6024
  • Fax:
Mailing address:
  • Phone: 303-422-4195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number18341
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: