Provider Demographics
NPI:1497032999
Name:ESHIMA, DUANE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:
Last Name:ESHIMA
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4556 CASTLE CIR
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-4075
Mailing Address - Country:US
Mailing Address - Phone:303-404-3393
Mailing Address - Fax:
Practice Address - Street 1:490 ERIE PKWY
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-5435
Practice Address - Country:US
Practice Address - Phone:303-586-8276
Practice Address - Fax:303-586-8282
Is Sole Proprietor?:No
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18269183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist