Healthcare Provider Details

I. General information

NPI: 1215181359
Provider Name (Legal Business Name): FRANCISCO BORAL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2008
Last Update Date: 04/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 N TELLURIDE ST
AURORA CO
80011-7809
US

IV. Provider business mailing address

317 N TELLURIDE ST
AURORA CO
80011-7809
US

V. Phone/Fax

Practice location:
  • Phone: 720-847-6049
  • Fax:
Mailing address:
  • Phone: 720-847-6049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number17950
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17950
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: