Provider Demographics
NPI:1245917004
Name:PINSON, ALICE (PHARMD)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:PINSON
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 1:1520 1/2 LOWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1544
Mailing Address - Country:US
Mailing Address - Phone:303-704-9633
Mailing Address - Fax:
Practice Address - Street 1:3770 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-2052
Practice Address - Country:US
Practice Address - Phone:720-855-8477
Practice Address - Fax:720-545-2563
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0024424183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist