Organization
COLORADO PHARMACY LLC
Active
Other names
Colorado Pharmacy West
Organization subpart
No
Provider details
NPI number
Authorized official
JANE NICHOLS (PRESIDENT)
(303) 863-7644
Entity
Organization
Contact information
Practice address
2490 W 26TH AVE, SUITE 300A, DENVER, CO 80211-5314
(303) 458-6200
(303) 458-6203
Mailing address
PO BOX 300127, DENVER, CO 80203-0127
(303) 863-7644
(303) 863-7656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
615
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48985848
—
CO
Enumeration date
09/20/2005
Last updated
08/22/2020
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