Provider Demographics
NPI:1336745686
Name:VALENCIANO, ERIN CHIYEKO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:CHIYEKO
Last Name:VALENCIANO
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 1:2000 S COLORADO BLVD STE 11000
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-7937
Mailing Address - Country:US
Mailing Address - Phone:303-733-4447
Mailing Address - Fax:303-733-4434
Practice Address - Street 1:2000 S COLORADO BLVD STE 11000
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-7937
Practice Address - Country:US
Practice Address - Phone:303-733-4447
Practice Address - Fax:303-733-4434
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0021247183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
10089485OtherPTCB CERTIFICATION