Provider Demographics
NPI:1720412919
Name:IRVINE, SHERI B (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:B
Last Name:IRVINE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 S FLORENCE ST APT 1918
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-0001
Mailing Address - Country:US
Mailing Address - Phone:808-295-1540
Mailing Address - Fax:
Practice Address - Street 1:123 E BELLEVIEW AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-6802
Practice Address - Country:US
Practice Address - Phone:303-795-2331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-24
Last Update Date:2013-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA0020011183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist