Healthcare Provider Details

I. General information

NPI: 1003192337
Provider Name (Legal Business Name): GINGER LYNN GUZMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2011
Last Update Date: 11/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4351 E 104TH AVE
THORNTON CO
80233-4451
US

IV. Provider business mailing address

4351 E 104TH AVE
THORNTON CO
80233-4451
US

V. Phone/Fax

Practice location:
  • Phone: 303-501-1725
  • Fax: 303-507-1731
Mailing address:
  • Phone: 303-501-1725
  • Fax: 303-507-1731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16687
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: