Healthcare Provider Details

I. General information

NPI: 1598682247
Provider Name (Legal Business Name): CAROL LYNN DELUCIA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E 19TH AVE
DENVER CO
80218-1114
US

IV. Provider business mailing address

9961 WILLOWSTONE PL
PARKER CO
80134-3545
US

V. Phone/Fax

Practice location:
  • Phone: 303-812-2300
  • Fax:
Mailing address:
  • Phone: 303-812-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number13253
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: