Healthcare Provider Details

I. General information

NPI: 1528474715
Provider Name (Legal Business Name): ALVIN OUNG PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 N OGDEN ST STE 460
DENVER CO
80218-3670
US

IV. Provider business mailing address

1960 N OGDEN ST STE 460
DENVER CO
80218-3670
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-2599
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPHA.0020819
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: