Healthcare Provider Details

I. General information

NPI: 1164535134
Provider Name (Legal Business Name): CHARLOTTE LANTZ PHARM.D, BCACP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHARLOTTE ANNA MARIE RICCHETTI PHARM.D, BCACP

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 S BROADWAY STE 200
DENVER CO
80210-1583
US

IV. Provider business mailing address

1212 S BROADWAY STE 200
DENVER CO
80210-1583
US

V. Phone/Fax

Practice location:
  • Phone: 720-853-3227
  • Fax:
Mailing address:
  • Phone: 720-853-3227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03323817
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPHA.0019020
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA.0019020
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHA.0019020
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: