Provider Demographics
NPI:1831499888
Name:SHAHAN, DAVID RICHARD (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:RICHARD
Last Name:SHAHAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 S PIERCE ST
Mailing Address - Street 2:PHARMACY - FLOATER HOME STORE
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-5757
Mailing Address - Country:US
Mailing Address - Phone:303-972-8600
Mailing Address - Fax:303-979-0798
Practice Address - Street 1:7500 S PIERCE ST
Practice Address - Street 2:PHARMACY - FLOATER HOME STORE
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-5757
Practice Address - Country:US
Practice Address - Phone:303-972-8600
Practice Address - Fax:303-979-0798
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist