Provider Demographics
NPI:1265746085
Name:WERN, SCOTT STEPHEN (PHARMD)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:STEPHEN
Last Name:WERN
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 1:11245 HURON ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2806
Mailing Address - Country:US
Mailing Address - Phone:303-338-4545
Mailing Address - Fax:512-441-2727
Practice Address - Street 1:5600 S 1ST ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3108
Practice Address - Country:US
Practice Address - Phone:512-441-4747
Practice Address - Fax:512-441-2727
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46998183500000X
COPHA.0019832183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist