Healthcare Provider Details

I. General information

NPI: 1043225402
Provider Name (Legal Business Name): WHOLE HEALTH PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 05/11/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 UNIVERSITY BLVD SUITE 105
DENVER CO
80206-4657
US

IV. Provider business mailing address

8031 SOUTHPARK CIR STE C
LITTLETON CO
80120-5724
US

V. Phone/Fax

Practice location:
  • Phone: 303-333-2010
  • Fax: 303-333-2208
Mailing address:
  • Phone: 303-996-4401
  • Fax: 303-952-8060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number432
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number432
License Number StateCO

VIII. Authorized Official

Name: JAMES CARY
Title or Position: OWNER
Credential:
Phone: 303-225-4446