Healthcare Provider Details

I. General information

NPI: 1205749843
Provider Name (Legal Business Name): EDUARDO ORNELAS ROSALES PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12850 E MONTVIEW BLVD
AURORA CO
80045-2605
US

IV. Provider business mailing address

1425 S NEWTON ST
DENVER CO
80219-3855
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-2882
  • Fax:
Mailing address:
  • Phone: 720-936-5433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: