Healthcare Provider Details

I. General information

NPI: 1497988257
Provider Name (Legal Business Name): SARAH L. ANDERSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2009
Last Update Date: 06/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 28TH ST MC 3600
DENVER CO
80205-3003
US

IV. Provider business mailing address

12850 E MONTVIEW BLVD RM V20-2129 MAIL STOP C238
AURORA CO
80045-2605
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-4670
  • Fax: 303-436-4610
Mailing address:
  • Phone: 303-724-5926
  • Fax: 303-724-2627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number17714
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: