Healthcare Provider Details

I. General information

NPI: 1114178266
Provider Name (Legal Business Name): ELIZABETH Y GLEYZER-REYN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18414 COTTONWOOD DR
PARKER CO
80138-8876
US

IV. Provider business mailing address

18799 E PRENTICE PL
CENTENNIAL CO
80015-4890
US

V. Phone/Fax

Practice location:
  • Phone: 303-583-1946
  • Fax:
Mailing address:
  • Phone: 347-267-3042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18155
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: