Suan Hong

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Firestone, CO

NPI 1265197404 · NPPES record last updated Nov 2, 2021

Key facts

NPI
1265197404
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
PHA.0023826 (CO)
Practice address
6110 Firestone Blvd
Firestone, CO 80504
Phone
(303) 682-4170
Fax
(303) 682-4171
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PHA.0023826COMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dillon Companies LLC Past
since Nov 9, 2021
Accepting new patients
Dillon Companies LLC Past
since Nov 9, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PHA.0023826 CO Yes

Addresses

Primary practice location

6110 Firestone Blvd
Firestone, CO 80504

Mailing address

6110 Firestone Blvd
Firestone, CO 80504-6425

Other providers in Firestone, CO

All providers in Firestone, CO · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Colorado

Sources for this page

Verify at the official NPI Registry.