Provider Demographics
NPI:1669884300
Name:CRAFT, ROWENA (RPH)
Entity type:Individual
Prefix:MRS
First Name:ROWENA
Middle Name:
Last Name:CRAFT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 S LIPAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-3069
Mailing Address - Country:US
Mailing Address - Phone:303-698-8960
Mailing Address - Fax:
Practice Address - Street 1:1220 S LIPAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-3069
Practice Address - Country:US
Practice Address - Phone:303-698-8960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15915183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist