Healthcare Provider Details

I. General information

NPI: 1548559503
Provider Name (Legal Business Name): ADRIAN LARKIN BOKA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ADRIAN TUCKER LARKIN PHARMD

II. Dates (important events)

Enumeration Date: 03/30/2011
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4995 E 33RD AVE
DENVER CO
80207-1902
US

IV. Provider business mailing address

790 DELAWARE STREET
DENVER CO
80204
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-8113
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302040071
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19081
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number0019081
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: