Provider Demographics
NPI:1609562479
Name:PHARMASTAY PLLC
Entity Type:Organization
Organization Name:PHARMASTAY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, BCACP
Authorized Official - Phone:720-583-5443
Mailing Address - Street 1:5953 S WILLOW WAY
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5119
Mailing Address - Country:US
Mailing Address - Phone:720-583-5442
Mailing Address - Fax:
Practice Address - Street 1:5953 S WILLOW WAY
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-5119
Practice Address - Country:US
Practice Address - Phone:720-583-5442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory CareGroup - Single Specialty