# MOUNTAIN KEY RX

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain Key Rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275053761
- **Authorized official:** BRENT J. STEIN (OWNER)
- **Authorized official phone:** (303) 810-6408

## Contact information

- **Practice address:** 18172 TELLER COUNTY ROAD 1, FLORISSANT, CO 80816
- **Practice address phone:** (303) 810-6408
- **Mailing address:** 18172 TELLER COUNTY ROAD 1, FLORISSANT, CO 80816
- **Mailing address phone:** (719) 309-9525
- **Mailing address fax:** (719) 452-3884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/26/2017
- **Last updated:** 10/15/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 168-172 | PDO\# | CO |