# ESTES PARK PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023006038
- **Authorized official:** MR. SCOTT RANDALL JOENS RPH (PRESIDENT)
- **Authorized official phone:** (970) 586-3366

## Contact information

- **Practice address:** 600 S SAINT VRAIN AVE, UNIT 1, ESTES PARK, CO 80517-7488
- **Practice address phone:** (970) 586-3366
- **Practice address fax:** (970) 586-0225
- **Mailing address:** 600 S SAINT VRAIN AVE, UNIT 1, ESTES PARK, CO 80517-7488
- **Mailing address phone:** (970) 586-3366
- **Mailing address fax:** (970) 586-0225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 39-2 | CO | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 09/20/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03392008 | — | CO |
| 01 | — | 0612007 | NABP | — |