Healthcare Provider Details

I. General information

NPI: 1306117338
Provider Name (Legal Business Name): BARRETT R CROWTHER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2012
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 AURORA CT
AURORA CO
80045-2541
US

IV. Provider business mailing address

1635 AURORA CT
AURORA CO
80045-2541
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-2237
  • Fax:
Mailing address:
  • Phone: 720-848-2237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number47485
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPHA.0022496
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: