Healthcare Provider Details

I. General information

NPI: 1821280546
Provider Name (Legal Business Name): CHRIS W NELSON PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 08/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 FRANKLIN ST
DENVER CO
80205-5437
US

IV. Provider business mailing address

12656 W CRESTLINE AVE
LITTLETON CO
80127-6219
US

V. Phone/Fax

Practice location:
  • Phone: 303-861-3404
  • Fax:
Mailing address:
  • Phone: 303-877-6616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number16543
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: