Provider Demographics
NPI:1760772057
Name:WOBETER, BROOKE R (PHARMD)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:R
Last Name:WOBETER
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 1:12600 ALBROOK DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-4604
Mailing Address - Country:US
Mailing Address - Phone:303-602-4000
Mailing Address - Fax:303-436-4448
Practice Address - Street 1:12600 ALBROOK DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-4604
Practice Address - Country:US
Practice Address - Phone:303-602-4000
Practice Address - Fax:303-436-4448
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18788183500000X, 1835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No183500000XPharmacy Service ProvidersPharmacist