Provider Demographics
NPI:1427432954
Name:O'CONNOR, TERI LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TERI
Middle Name:LYNN
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7450 S UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-1670
Mailing Address - Country:US
Mailing Address - Phone:303-773-9898
Mailing Address - Fax:303-773-9703
Practice Address - Street 1:7450 S UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-1670
Practice Address - Country:US
Practice Address - Phone:303-773-9898
Practice Address - Fax:303-773-9703
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist