Provider Demographics
NPI:1467443556
Name:GHELLER, VAL (RPH)
Entity Type:Individual
Prefix:
First Name:VAL
Middle Name:
Last Name:GHELLER
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 1:968 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4050
Mailing Address - Country:US
Mailing Address - Phone:303-393-8209
Mailing Address - Fax:303-316-0649
Practice Address - Street 1:968 JACKSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4050
Practice Address - Country:US
Practice Address - Phone:303-393-8209
Practice Address - Fax:303-316-0649
Is Sole Proprietor?:No
Enumeration Date:2005-10-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9429183500000X
WIR-7938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist