Provider Demographics
NPI:1891874855
Name:CORRIGAN, JOHN PATRICK (PHARMACIST)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:PATRICK
Last Name:CORRIGAN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 S. YOSEMITE WAY
Mailing Address - Street 2:UNIT 63
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2235
Mailing Address - Country:US
Mailing Address - Phone:303-359-5675
Mailing Address - Fax:
Practice Address - Street 1:1219 S. YOSEMITE WAY
Practice Address - Street 2:UNIT 63
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2235
Practice Address - Country:US
Practice Address - Phone:303-359-5675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO154581835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy