# COLORADO PHARMACY LLC

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

## Provider details

- **NPI number:** 1306831995
- **Authorized official:** JANE NICHOLS (PRESIDENT)
- **Authorized official phone:** (303) 863-7644

## Contact information

- **Practice address:** 2490 W 26TH AVE, SUITE 300A, DENVER, CO 80211-5314
- **Practice address phone:** (303) 458-6200
- **Practice address fax:** (303) 458-6203
- **Mailing address:** PO BOX 300127, DENVER, CO 80203-0127
- **Mailing address phone:** (303) 863-7644
- **Mailing address fax:** (303) 863-7656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 615 | CO | Yes |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 48985848 | — | CO |