Provider Demographics
NPI:1992144711
Name:KNUTSEN, GREGORY A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:A
Last Name:KNUTSEN
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 1:8151 S QUEBEC ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3187
Mailing Address - Country:US
Mailing Address - Phone:303-694-2136
Mailing Address - Fax:303-741-6330
Practice Address - Street 1:8151 S QUEBEC ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-3187
Practice Address - Country:US
Practice Address - Phone:303-694-2136
Practice Address - Fax:303-741-6330
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2020-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19913183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist