Provider Demographics
NPI:1578858197
Name:ZDARKO, TOBIN VANCE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TOBIN
Middle Name:VANCE
Last Name:ZDARKO
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 1:2171 PRAIRIE CENTER PKWY
Mailing Address - Street 2:T-2183
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-7000
Mailing Address - Country:US
Mailing Address - Phone:303-219-9056
Mailing Address - Fax:303-219-9056
Practice Address - Street 1:2171 PRAIRIE CENTER PKWY
Practice Address - Street 2:T-2183
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-7000
Practice Address - Country:US
Practice Address - Phone:303-219-9056
Practice Address - Fax:303-219-9056
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist