Healthcare Provider Details

I. General information

NPI: 1285608257
Provider Name (Legal Business Name): TONJA SVENSK RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TONJA LAMBERTUS RPH

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 08/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 CLERMONT ST (119)
DENVER CO
80220-3808
US

IV. Provider business mailing address

1055 CLERMONT ST # 119
DENVER CO
80220-3808
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-8020
  • Fax: 303-393-4624
Mailing address:
  • Phone: 303-399-8020
  • Fax: 303-393-4624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number13291
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: