Healthcare Provider Details

I. General information

NPI: 1861358210
Provider Name (Legal Business Name): LEILA KHURSHID PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 JACKSON ST
DENVER CO
80206-2761
US

IV. Provider business mailing address

5920 ONEIDA ST
COMMERCE CITY CO
80022-4034
US

V. Phone/Fax

Practice location:
  • Phone: 303-398-1551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23059
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: