Provider Demographics
NPI:1790263481
Name:CHASE, DARLA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DARLA
Middle Name:
Last Name:CHASE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16539 JASMINE ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-6051
Mailing Address - Country:US
Mailing Address - Phone:720-974-6785
Mailing Address - Fax:303-996-1614
Practice Address - Street 1:8950 E LOWRY BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-7030
Practice Address - Country:US
Practice Address - Phone:720-974-6785
Practice Address - Fax:303-996-1614
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12217183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO12217OtherPHARMACIST LICENSE