Provider Demographics
NPI:1558661959
Name:DESHPANDE, SWATI (RPH)
Entity Type:Individual
Prefix:
First Name:SWATI
Middle Name:
Last Name:DESHPANDE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 ARAPAHOE RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-6006
Mailing Address - Country:US
Mailing Address - Phone:720-890-0425
Mailing Address - Fax:
Practice Address - Street 1:3333 ARAPAHOE RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-6006
Practice Address - Country:US
Practice Address - Phone:720-890-0425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13988183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist