Provider Demographics
NPI:1609158666
Name:WHITTINGTON, JOSHUA DAVID (PHARMD)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:DAVID
Last Name:WHITTINGTON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3456 AKRON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3400
Mailing Address - Country:US
Mailing Address - Phone:303-333-4678
Mailing Address - Fax:303-333-0896
Practice Address - Street 1:4545 E 9TH AVE
Practice Address - Street 2:100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3901
Practice Address - Country:US
Practice Address - Phone:303-333-4678
Practice Address - Fax:303-333-0896
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO167921835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist