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Organization
ESTES PARK PHARMACY INC
Active
Organization
ESTES PARK PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT RANDALL JOENS RPH (PRESIDENT)
(970) 586-3366
Entity
Organization
Contact information
Practice address
600 S SAINT VRAIN AVE, UNIT 1, ESTES PARK, CO 80517-7488
(970) 586-3366
(970) 586-0225
Mailing address
600 S SAINT VRAIN AVE, UNIT 1, ESTES PARK, CO 80517-7488
(970) 586-3366
(970) 586-0225
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
39-2
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03392008
—
CO
01
—
0612007
NABP
—
Enumeration date
10/12/2005
Last updated
09/20/2014
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