Provider Demographics
NPI:1144655119
Name:HARMON, KELLI RENEE (PHARM D)
Entity type:Individual
Prefix:
First Name:KELLI
Middle Name:RENEE
Last Name:HARMON
Suffix:
Gender:F
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 1:1515 OGDEN ST APT 5
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1466
Mailing Address - Country:US
Mailing Address - Phone:303-501-3787
Mailing Address - Fax:
Practice Address - Street 1:6482 S PARKER RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1080
Practice Address - Country:US
Practice Address - Phone:303-501-3787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0020052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist