Healthcare Provider Details

I. General information

NPI: 1619785821
Provider Name (Legal Business Name): SCHYLER KNOLL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2024
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6110 FIRESTONE BLVD
FIRESTONE CO
80504-6425
US

IV. Provider business mailing address

6110 FIRESTONE BLVD
FIRESTONE CO
80504-6425
US

V. Phone/Fax

Practice location:
  • Phone: 303-673-1818
  • Fax: 303-673-1981
Mailing address:
  • Phone: 303-682-4170
  • Fax: 303-682-4171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHA.0025061
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: