Healthcare Provider Details

I. General information

NPI: 1609562479
Provider Name (Legal Business Name): PHARMASTAY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 04/14/2023
Certification Date: 04/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5953 S WILLOW WAY
GREENWOOD VILLAGE CO
80111-5119
US

IV. Provider business mailing address

5953 S WILLOW WAY
GREENWOOD VILLAGE CO
80111-5119
US

V. Phone/Fax

Practice location:
  • Phone: 720-583-5442
  • Fax:
Mailing address:
  • Phone: 720-583-5442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number
License Number State

VIII. Authorized Official

Name: STACEY HOLLEN
Title or Position: CEO/FOUNDER
Credential: PHARMD, BCACP
Phone: 720-583-5443