Healthcare Provider Details

I. General information

NPI: 1104145259
Provider Name (Legal Business Name): CAROL POLLES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 UNIVERSITY BLVD STE 105
DENVER CO
80206-4617
US

IV. Provider business mailing address

1927 S WADSWORTH BLVD
LAKEWOOD CO
80227-3271
US

V. Phone/Fax

Practice location:
  • Phone: 303-333-2010
  • Fax: 303-333-2208
Mailing address:
  • Phone: 303-985-8797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17311
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: