Organization
DENVER HEALTH AND HOSPITAL AUTHORITY
Active
Other names
Federico F Pena Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY CARMICHAEL (CLINICAL PHARMACY SPECIALIST)
(303) 602-9215
Entity
Organization
Contact information
Practice address
1339 S FEDERAL BLVD, DENVER, CO 80219-4235
(303) 602-9215
Mailing address
1339 S FEDERAL BLVD, DENVER, CO 80219-4235
(303) 602-9215
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
PDO1680000112
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159827
PK
—
Enumeration date
05/10/2016
Last updated
05/10/2016
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