# COLLEGE PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** College Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073515615
- **Authorized official:** MR. JERRY SIMON GILLICK R.PH. (PRESIDENT)
- **Authorized official phone:** (719) 262-0022

## Contact information

- **Practice address:** 3505 AUSTIN BLUFFS PARKWAY, SUITE 101, COLORADO SPRINGS, CO 80918
- **Practice address phone:** (719) 262-0022
- **Practice address fax:** (719) 262-0035
- **Mailing address:** 3505 AUSTIN BLUFFS PARKWAY, SUITE 101, COLORADO SPRINGS, CO 80918
- **Mailing address phone:** (719) 262-0022
- **Mailing address fax:** (719) 262-0035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 240000038 | CO | Yes |

## Other

- **Enumeration date:** 08/12/2005
- **Last updated:** 10/06/2009
