Healthcare Provider Details

I. General information

NPI: 1538732482
Provider Name (Legal Business Name): BRIANNA DENTON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRI DENTON PHARMD

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 S FREMONT AVE STE 3300
SPRINGFIELD MO
65804-2246
US

IV. Provider business mailing address

2115 S FREMONT AVE STE 3300
SPRINGFIELD MO
65804-2246
US

V. Phone/Fax

Practice location:
  • Phone: 417-820-5200
  • Fax:
Mailing address:
  • Phone: 417-820-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number2022018272
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD15830
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: