Organization
GJ COMPOUNDING LLC
Active
Other names
Western Colorado Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC MICHAEL FRAZER PHARM D (OWNER/PIC)
(970) 243-5050
Entity
Organization
Contact information
Practice address
2472 PATTERSON RD., STE. 12, GRAND JUNCTION, CO 81505
(970) 243-5050
(970) 243-5110
Mailing address
2472 PATTERSON RD., STE. 12, GRAND JUNCTION, CO 81505
(970) 243-5050
(970) 243-5110
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
763
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0621234
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/29/2009
Last updated
03/10/2016
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