Healthcare Provider Details

I. General information

NPI: 1609620020
Provider Name (Legal Business Name): DR. TODD HUFF
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8383 W ALAMEDA AVE
LAKEWOOD CO
80226-3099
US

IV. Provider business mailing address

8383 W ALAMEDA AVE
LAKEWOOD CO
80226-3099
US

V. Phone/Fax

Practice location:
  • Phone: 303-239-7465
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16402
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: