Provider Demographics
NPI:1942449152
Name:FLITTER, WENDY ELISE (RPH)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:ELISE
Last Name:FLITTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 ROSLYN ST
Mailing Address - Street 2:#32
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7215
Mailing Address - Country:US
Mailing Address - Phone:303-842-6001
Mailing Address - Fax:
Practice Address - Street 1:2500 S HAVANA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1618
Practice Address - Country:US
Practice Address - Phone:303-338-3820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO133161835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist