Healthcare Provider Details

I. General information

NPI: 1487088019
Provider Name (Legal Business Name): NEENAH THANHHA PAK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2013
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 S FEDERAL BLVD
ENGLEWOOD CO
80110-6361
US

IV. Provider business mailing address

5050 S FEDERAL BLVD
ENGLEWOOD CO
80110-6361
US

V. Phone/Fax

Practice location:
  • Phone: 303-798-2521
  • Fax:
Mailing address:
  • Phone: 720-798-2521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19856
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number19856
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: