Organization
2ND HOME PHARMACY - EVANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANEEN M OMAR MRS (CEO)
(303) 999-7763
Entity
Organization
Contact information
Practice address
6880 E EVANS AVE, DENVER, CO 80224-2330
(303) 999-7763
(303) 999-7763
Mailing address
3131 S VAUGHN WAY STE 600, DENVER, CO 80014-3508
(303) 999-7763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207VG0400X
Gynecology Physician
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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