Provider Demographics
NPI:1568025609
Name:NAKOUZI, JOE (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:NAKOUZI
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 1:60 W BROMLEY LN
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-3026
Mailing Address - Country:US
Mailing Address - Phone:303-659-2510
Mailing Address - Fax:
Practice Address - Street 1:60 W BROMLEY LN
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-3026
Practice Address - Country:US
Practice Address - Phone:303-659-2510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-15
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20855183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist