Provider Demographics
NPI:1902652472
Name:WHITSITT, PAM J (RPH)
Entity Type:Individual
Prefix:
First Name:PAM
Middle Name:J
Last Name:WHITSITT
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 1:2530 S PARKER RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1623
Mailing Address - Country:US
Mailing Address - Phone:720-613-3292
Mailing Address - Fax:
Practice Address - Street 1:56929 E 42ND CT
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:CO
Practice Address - Zip Code:80136-8121
Practice Address - Country:US
Practice Address - Phone:303-726-1662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO141991835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care