Provider Demographics
NPI:1518574094
Name:BHAKTA, SWATI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SWATI
Middle Name:
Last Name:BHAKTA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 MARSHALL RD
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9730
Mailing Address - Country:US
Mailing Address - Phone:720-587-1002
Mailing Address - Fax:
Practice Address - Street 1:600 MARSHALL RD
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-9730
Practice Address - Country:US
Practice Address - Phone:720-587-1002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0022569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist