Healthcare Provider Details

I. General information

NPI: 1295656288
Provider Name (Legal Business Name): DENISE AVILA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 E 19TH AVE
DENVER CO
80218-1235
US

IV. Provider business mailing address

2641 POZE BLVD
THORNTON CO
80229-3855
US

V. Phone/Fax

Practice location:
  • Phone: 720-224-1267
  • Fax:
Mailing address:
  • Phone: 720-224-1267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0025345
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: