Organization
COLORADO DEPARTMENT OF CORRECTIONS
Active
Parent organization
STATE OF COLORADO
Other names
Colorado Department of Corrections Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF COLORADO
Authorized official
DR. PENGXIN LIU PHARMD (PHARMACY MANGER)
(719) 226-4020
Entity
Organization
Contact information
Practice address
1250 ACADEMY PARK LOOP, COLORADO SPRINGS, CO 80910-3708
(719) 226-4020
Mailing address
1250 ACADEMY PARK LOOP, COLORADO SPRINGS, CO 80910-3708
(719) 226-4020
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
990000001
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0617552
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
990000001
COLORADO STATE BOARD OF PHARMACY
CO
Enumeration date
12/05/2007
Last updated
07/14/2025
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