Healthcare Provider Details

I. General information

NPI: 1255591780
Provider Name (Legal Business Name): METRO COMMUNITY PROVIDER NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3292 PEORIA STREET
AURORA CO
80110-1517
US

IV. Provider business mailing address

7495 W 29TH AVE
WHEAT RIDGE CO
80033-8002
US

V. Phone/Fax

Practice location:
  • Phone: 303-343-6642
  • Fax: 303-343-6932
Mailing address:
  • Phone: 303-761-1977
  • Fax: 303-343-0247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. APRIL J PEER
Title or Position: CFO
Credential:
Phone: 303-761-1977