Alex Duyvejonck, PHARM.D.
Individual provider Active NPI Pharmacist · Gunnison, CO
NPI 1154670552 · NPPES record last updated Aug 31, 2012
Key facts
- NPI
- 1154670552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18703 (CO)
- Practice address
- 711 N Taylor St
Gunnison, CO 81230-2243 - Phone
- (970) 641-7217
- NPI assigned
- Aug 31, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18703 | CO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18703 | CO | Yes |
Addresses
Primary practice location
711 N Taylor St
Gunnison, CO 81230-2243
Mailing address
PO Box 1743
Crested Butte, CO 81224-1743
Phone (309) 738-2707
Other providers in Gunnison, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.