Provider Demographics
NPI:1346842317
Name:SACRED HEART CLINICAL PHARMACY SPECIALTIES, LLC
Entity Type:Organization
Organization Name:SACRED HEART CLINICAL PHARMACY SPECIALTIES, LLC
Other - Org Name:SACRED HEART CLINICAL PHARMACY SPECIALTIES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PHARMACY SPECIALIST, COO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:A
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:720-940-4792
Mailing Address - Street 1:15200 E GIRARD AVE STE 3500
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5004
Mailing Address - Country:US
Mailing Address - Phone:720-940-4792
Mailing Address - Fax:
Practice Address - Street 1:15200 E GIRARD AVE STE 3500
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5004
Practice Address - Country:US
Practice Address - Phone:720-940-4792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty