Healthcare Provider Details

I. General information

NPI: 1619883402
Provider Name (Legal Business Name): MITSY LEDESMA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 W HOLDEN PL
DENVER CO
80204-3353
US

IV. Provider business mailing address

12850 E MONTVIEW BLVD
AURORA CO
80045-2605
US

V. Phone/Fax

Practice location:
  • Phone: 303-953-6600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0025698
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: