Provider Demographics
NPI:1538441696
Name:RHODES, CRAIG HAMILTON (PHARMD)
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:HAMILTON
Last Name:RHODES
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 1:1821 E BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-1935
Mailing Address - Country:US
Mailing Address - Phone:720-685-3099
Mailing Address - Fax:720-685-3075
Practice Address - Street 1:1821 E BRIDGE ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-1935
Practice Address - Country:US
Practice Address - Phone:720-685-3099
Practice Address - Fax:720-685-3075
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17761183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist