Provider Demographics
NPI:1831908839
Name:SKELTON, HENRY FOX (RPH)
Entity type:Individual
Prefix:MR
First Name:HENRY
Middle Name:FOX
Last Name:SKELTON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 SPAR ST
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-9333
Mailing Address - Country:US
Mailing Address - Phone:601-594-1304
Mailing Address - Fax:
Practice Address - Street 1:99 SPAR ST
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-9333
Practice Address - Country:US
Practice Address - Phone:601-594-1304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0020659183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist