Provider Demographics
NPI:1205104510
Name:SCALES, WILLIAM ALAN (PHARMD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ALAN
Last Name:SCALES
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 1:1620 COLORADO BLVD
Mailing Address - Street 2:APT #1
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-1068
Mailing Address - Country:US
Mailing Address - Phone:812-340-9218
Mailing Address - Fax:
Practice Address - Street 1:1620 COLORADO BLVD
Practice Address - Street 2:APT #1
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-1068
Practice Address - Country:US
Practice Address - Phone:812-340-9218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA-19110183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist