Healthcare Provider Details

I. General information

NPI: 1326563123
Provider Name (Legal Business Name): ALEC JOHN ALAN PATTERSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: A.J. PATTERSON

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 08/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 EAGLE DR
LOVELAND CO
80537-8058
US

IV. Provider business mailing address

5100 RONALD REAGAN BLVD APT I208
JOHNSTOWN CO
80534-6490
US

V. Phone/Fax

Practice location:
  • Phone: 970-663-2048
  • Fax:
Mailing address:
  • Phone: 316-650-5116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHA.0021882
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: