Provider Demographics
NPI:1679873285
Name:SISK, JAMES PATRICK (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PATRICK
Last Name:SISK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5025 S KIPLING ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-1314
Mailing Address - Country:US
Mailing Address - Phone:303-973-6795
Mailing Address - Fax:303-973-3918
Practice Address - Street 1:5025 S KIPLING ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-1314
Practice Address - Country:US
Practice Address - Phone:303-973-6795
Practice Address - Fax:303-973-3918
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13579183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist