Provider Demographics
NPI:1770708026
Name:SPEARS, SCOTT CLIFFORD (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:CLIFFORD
Last Name:SPEARS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9769 DETROIT ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2629
Mailing Address - Country:US
Mailing Address - Phone:402-490-1778
Mailing Address - Fax:
Practice Address - Street 1:7353 FEDERAL BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-4903
Practice Address - Country:US
Practice Address - Phone:303-412-2136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20386183500000X
CO19196183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist