# GOOSE CREEK PHARMACY

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

## Provider details

- **NPI number:** 1861542516
- **Authorized official:** GORDON KOST (PHARMACIST-OWNER)
- **Authorized official phone:** (303) 440-4200

## Contact information

- **Practice address:** 2880 FOLSOM ST, BOULDER, CO 80304-3739
- **Practice address phone:** (303) 440-4200
- **Mailing address:** 7490 MOUNT MEEKER RD, LONGMONT, CO 80503-7143
- **Mailing address phone:** (303) 530-3531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 11832 | CO | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03357159 | — | CO |