Provider Demographics
NPI:1295037661
Name:SHERPE, MICHAEL ALAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ALAN
Last Name:SHERPE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 E HAMPDAN AVE.
Mailing Address - Street 2:
Mailing Address - City:DANVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222
Mailing Address - Country:US
Mailing Address - Phone:303-691-0317
Mailing Address - Fax:303-691-0464
Practice Address - Street 1:4950 E HAMPDAN AVE.
Practice Address - Street 2:
Practice Address - City:DANVER
Practice Address - State:CO
Practice Address - Zip Code:80222
Practice Address - Country:US
Practice Address - Phone:303-691-0317
Practice Address - Fax:303-691-0464
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11475183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist