Healthcare Provider Details

I. General information

NPI: 1992773808
Provider Name (Legal Business Name): LYNN ANNE FLACH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 11/01/2021
Certification Date: 11/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N BROADWAY FL 7
DENVER CO
80203-3407
US

IV. Provider business mailing address

601 N BROADWAY FL 7
DENVER CO
80203-3407
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-4221
  • Fax:
Mailing address:
  • Phone: 303-602-4221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number15848
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: