Organization
POUDRE DRUG COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WALTER REED RPH (OWNER PHARMACIST)
(970) 484-2777
Entity
Organization
Contact information
Practice address
1221 EAST ELIZABETH, SUITE 1, FORT COLLINS, CO 80524-4066
(970) 484-2777
(970) 407-0449
Mailing address
1221 EAST ELIZABETH, SUITE 1, FORT COLLINS, CO 80524-4066
(970) 484-2777
(970) 407-0449
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
440000009
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03698842
—
CO
Enumeration date
02/22/2007
Last updated
07/18/2008
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