Healthcare Provider Details

I. General information

NPI: 1619047420
Provider Name (Legal Business Name): WHOLE HEALTH PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 UNIVERSITY BLVD SUITE 105
DENVER CO
80206-4657
US

IV. Provider business mailing address

8550 W 38TH AVE SUITE 100
WHEAT RIDGE CO
80033-4300
US

V. Phone/Fax

Practice location:
  • Phone: 303-333-2010
  • Fax:
Mailing address:
  • Phone: 303-940-1689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPDO432
License Number StateCO

VIII. Authorized Official

Name: MR. JAMES S CARY
Title or Position: PRESIDENT
Credential:
Phone: 303-940-1689