Organization
ESSENTIAL PHARMACY BOULDER LLC
Active
Other names
Essential Pharmacy Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
LISA R RITTEL DO (MANAGING MEMBER)
(303) 641-4016
Entity
Organization
Contact information
Practice address
1001 LEE HILL DR, SUITE 200B, BOULDER, CO 80302-9471
(303) 449-0089
(303) 443-0092
Mailing address
2525 ARAPAHOE AVE, SUITE E-4, #542, BOULDER, CO 80302-6720
(303) 449-0089
(303) 443-0092
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
17337
CO
Other
Enumeration date
07/18/2007
Last updated
01/22/2008
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