Provider Demographics
NPI:1801367636
Name:TIPURA, AMRA (PHARMD)
Entity Type:Individual
Prefix:
First Name:AMRA
Middle Name:
Last Name:TIPURA
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 1:4545 E 9TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3902
Mailing Address - Country:US
Mailing Address - Phone:303-333-4678
Mailing Address - Fax:303-333-0896
Practice Address - Street 1:15310 E COLFAX AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-5806
Practice Address - Country:US
Practice Address - Phone:720-262-4615
Practice Address - Fax:720-262-4621
Is Sole Proprietor?:No
Enumeration Date:2018-12-05
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0020962183500000X
CO20962183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist