Provider Demographics
NPI:1497130157
Name:CREOLA, DENISE (RPH)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:CREOLA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:STEHN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6412 S PARKER RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-3011
Mailing Address - Country:US
Mailing Address - Phone:303-627-6111
Mailing Address - Fax:
Practice Address - Street 1:5555 E ARAPAHOE RD
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-2312
Practice Address - Country:US
Practice Address - Phone:303-850-2031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0020704183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist