Provider Demographics
NPI:1376150474
Name:MACHAJ, DENISE (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:MACHAJ
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16950 E SMOKY HILL RD
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2482
Mailing Address - Country:US
Mailing Address - Phone:303-627-0045
Mailing Address - Fax:
Practice Address - Street 1:16950 E SMOKY HILL RD
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-2482
Practice Address - Country:US
Practice Address - Phone:303-627-0045
Practice Address - Fax:303-627-0063
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA0023090183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist