Provider Demographics
NPI:1508233685
Name:PAMULAPATI, KRISHNA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KRISHNA
Middle Name:
Last Name:PAMULAPATI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 COLORADO BLVD
Mailing Address - Street 2:APT. 621
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4086
Mailing Address - Country:US
Mailing Address - Phone:603-320-4942
Mailing Address - Fax:
Practice Address - Street 1:2000 E COLFAX AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1304
Practice Address - Country:US
Practice Address - Phone:303-331-0917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0020941183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist