Healthcare Provider Details

I. General information

NPI: 1609706811
Provider Name (Legal Business Name): FERNANDA VAZQUEZ CASTILLO PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 E VIRGINIA AVE
GLENDALE CO
80246-1510
US

IV. Provider business mailing address

12489 E CEDAR CIR
AURORA CO
80012-1318
US

V. Phone/Fax

Practice location:
  • Phone: 303-209-0183
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0002009431
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: