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Organization
MOUNTAIN KEY RX
Active
Organization
MOUNTAIN KEY RX
Active
Other names
Mountain Key Rx
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT J. STEIN (OWNER)
(303) 810-6408
Entity
Organization
Contact information
Practice address
18172 TELLER COUNTY ROAD 1, FLORISSANT, CO 80816
(303) 810-6408
Mailing address
18172 TELLER COUNTY ROAD 1, FLORISSANT, CO 80816
(719) 309-9525
(719) 452-3884
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168-172
PDO#
CO
Enumeration date
06/26/2017
Last updated
10/15/2018
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