Healthcare Provider Details

I. General information

NPI: 1447174610
Provider Name (Legal Business Name): CHRISTINA PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 TEJON ST
DENVER CO
80223-1221
US

IV. Provider business mailing address

65 TEJON ST
DENVER CO
80223-1221
US

V. Phone/Fax

Practice location:
  • Phone: 303-778-3100
  • Fax:
Mailing address:
  • Phone: 303-778-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0025658
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: