Provider Demographics
NPI:1952071490
Name:VELASQUEZ, YVETTE INEZ (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:INEZ
Last Name:VELASQUEZ
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 1:17302 E LAKE LN
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-3211
Mailing Address - Country:US
Mailing Address - Phone:210-854-5939
Mailing Address - Fax:
Practice Address - Street 1:11101 S PARKER RD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4773
Practice Address - Country:US
Practice Address - Phone:303-805-0709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0023743183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist