Provider Demographics
NPI:1801181474
Name:ZDARKO, DAWN CHRISTINE
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:CHRISTINE
Last Name:ZDARKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14451 ORCHARD PKWY
Mailing Address - Street 2:T2197
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80023-9174
Mailing Address - Country:US
Mailing Address - Phone:303-209-0164
Mailing Address - Fax:303-209-0164
Practice Address - Street 1:14451 ORCHARD PKWY
Practice Address - Street 2:T2197
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80023-9174
Practice Address - Country:US
Practice Address - Phone:303-209-0164
Practice Address - Fax:303-209-0164
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-12
Last Update Date:2011-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14106183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist