Healthcare Provider Details
I. General information
NPI: 1124957097
Provider Name (Legal Business Name): RICHARD KOMSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1610 PRAIRIE CENTER PKWY STE 2110
BRIGHTON CO
80601-4001
US
IV. Provider business mailing address
1610 PRAIRIE CENTER PKWY STE 2110
BRIGHTON CO
80601-4001
US
V. Phone/Fax
- Phone: 303-483-7455
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 25529 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: