Healthcare Provider Details

I. General information

NPI: 1871995795
Provider Name (Legal Business Name): BENJAMIN LOTT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2014
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16400 S TOWNSEND AVE
MONTROSE CO
81401-5404
US

IV. Provider business mailing address

16400 S TOWNSEND AVE
MONTROSE CO
81401-5404
US

V. Phone/Fax

Practice location:
  • Phone: 970-240-1994
  • Fax: 970-240-3012
Mailing address:
  • Phone: 970-240-1994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20480
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: