Healthcare Provider Details

I. General information

NPI: 1083526289
Provider Name (Legal Business Name): ALLISON BLACKMER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

983 S JOSEPHINE ST
DENVER CO
80209-4730
US

IV. Provider business mailing address

983 S JOSEPHINE ST
DENVER CO
80209-4730
US

V. Phone/Fax

Practice location:
  • Phone: 917-544-1930
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHA.0020587
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: