Healthcare Provider Details

I. General information

NPI: 1457737470
Provider Name (Legal Business Name): EMILY O'BRIEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 S LEMAY AVE
FORT COLLINS CO
80524-3929
US

IV. Provider business mailing address

1024 S LEMAY AVE
FORT COLLINS CO
80524-3929
US

V. Phone/Fax

Practice location:
  • Phone: 970-495-8040
  • Fax:
Mailing address:
  • Phone: 970-495-8040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number23388
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23388
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: