Healthcare Provider Details

I. General information

NPI: 1861819856
Provider Name (Legal Business Name): SCALES PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2014
Last Update Date: 01/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1999 PENNSYLVANIA ST
DENVER CO
80203-1314
US

IV. Provider business mailing address

1999 PENNSYLVANIA ST
DENVER CO
80203-1314
US

V. Phone/Fax

Practice location:
  • Phone: 303-974-5424
  • Fax: 720-335-6065
Mailing address:
  • Phone: 303-974-5424
  • Fax: 720-335-6065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPDO.1680000054
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DANIEL SCALES
Title or Position: OWNER, PIC
Credential: RPH
Phone: 720-388-9339