Healthcare Provider Details

I. General information

NPI: 1558634352
Provider Name (Legal Business Name): AMY HURWITCH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2012
Last Update Date: 02/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 PEAK ONE DRIVE
FRISCO CO
80443
US

IV. Provider business mailing address

293 SHERWOOD TRL
BRECKENRIDGE CO
80424-8813
US

V. Phone/Fax

Practice location:
  • Phone: 970-668-9588
  • Fax: 970-668-6987
Mailing address:
  • Phone: 970-389-8147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17176
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: