Healthcare Provider Details

I. General information

NPI: 1467410928
Provider Name (Legal Business Name): CHARLES DUANE SINTEK PHARMMS, R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 07/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

1055 CLERMONT ST PHARMACY SERVICE (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 Number10209
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number8358
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: