Healthcare Provider Details

I. General information

NPI: 1134766298
Provider Name (Legal Business Name): KAREN CAROL SHEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2019
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 MAIN AVE
DURANGO CO
81301-4247
US

IV. Provider business mailing address

3130 MAIN AVE
DURANGO CO
81301-4247
US

V. Phone/Fax

Practice location:
  • Phone: 970-247-9435
  • Fax: 970-385-5251
Mailing address:
  • Phone: 970-247-9435
  • Fax: 970-385-5251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHA.0023703
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: