Provider Demographics
NPI:1053687020
Name:THE REGENTS OF THE UNIVERSITY OF COLORADO
Entity Type:Organization
Organization Name:THE REGENTS OF THE UNIVERSITY OF COLORADO
Other - Org Name:SKAGGS SCHOOL OF PHARMACY AND PHARMACEUTICAL SCIENCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALTIERE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-724-2631
Mailing Address - Street 1:12850 E MONTVIEW BLVD
Mailing Address - Street 2:CAMPUS BOX C238
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2605
Mailing Address - Country:US
Mailing Address - Phone:303-724-2620
Mailing Address - Fax:303-724-2637
Practice Address - Street 1:1635 AURORA CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2541
Practice Address - Country:US
Practice Address - Phone:303-724-2620
Practice Address - Fax:303-724-2637
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE REGENTS OF THE UNIVERSITY OF COLORADO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty