Healthcare Provider Details

I. General information

NPI: 1609158666
Provider Name (Legal Business Name): JOSHUA DAVID WHITTINGTON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2011
Last Update Date: 09/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 E 9TH AVE 100
DENVER CO
80220-3901
US

IV. Provider business mailing address

3456 AKRON ST
DENVER CO
80238-3400
US

V. Phone/Fax

Practice location:
  • Phone: 303-333-4678
  • Fax: 303-333-0896
Mailing address:
  • Phone: 303-333-4678
  • Fax: 303-333-0896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number16792
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: