Healthcare Provider Details

I. General information

NPI: 1841738994
Provider Name (Legal Business Name): PETER RICE PHARMD, PHD, BCPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2017
Last Update Date: 02/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1633 FILLMORE ST STE GL1 DENVER INDIAN HEALTH AND FAMILY SERVICES
DENVER CO
80206-1546
US

IV. Provider business mailing address

12850 E MONTVIEW BLVD STE C238 UNIVERSITY OF COLORADO SCHOOL OF PHARMACY
AURORA CO
80045-2605
US

V. Phone/Fax

Practice location:
  • Phone: 303-953-6610
  • Fax:
Mailing address:
  • Phone: 303-724-2613
  • Fax: 303-724-0979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number16629
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPHA.0018286
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: