Healthcare Provider Details

I. General information

NPI: 1568307536
Provider Name (Legal Business Name): GEORGE T DICARLO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7819 ARAVON CT
LONE TREE CO
80124-9741
US

IV. Provider business mailing address

7819 ARAVON CT
LONE TREE CO
80124-9741
US

V. Phone/Fax

Practice location:
  • Phone: 720-917-9110
  • Fax:
Mailing address:
  • Phone: 720-917-9110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15105
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: