# COAST TO COAST COMPOUNDING LLC

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

## Provider details

- **NPI number:** 1720325251
- **Authorized official:** WENDI SCHMID PHARMD (PHARMACY MANAGER/OWNER)
- **Authorized official phone:** (303) 237-4478

## Contact information

- **Practice address:** 780 SIMMS ST, SUITE 103, GOLDEN, CO 80401-4725
- **Practice address phone:** (303) 237-4478
- **Mailing address:** 780 SIMMS ST, SUITE 103, GOLDEN, CO 80401-4725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 1680000020 | CO | Yes |

## Other

- **Enumeration date:** 01/03/2013
- **Last updated:** 01/03/2013