IndividualActive
Kelly Johnson, PHARM. D.
NPI 1710729470 · Ambulatory Care Pharmacist · Boulder, CO
Provider details
- NPI number
- 1710729470
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARM. D.
- Sex
- Female
- Sole proprietor
- No
- License
- 16804 (CO)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
580 Mohawk Dr
Boulder, CO 80303-3712
Phone: (303) 554-5020
Approximate (ZIP-level) locationGet directions
Mailing address
580 Mohawk Dr
Boulder, CO 80303-3712
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.