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Organization

PENCOL COMPOUNDING PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARSHALL D. TOBIN R.PH. (CEO)
(303) 388-3613
Entity
Organization

Contact information

Practice address
1325 S COLORADO BLVD, SUITE B-024, DENVER, CO 80222-3303
(303) 388-3613
Mailing address
1325 S COLORADO BLVD, SUITE B-024, DENVER, CO 80222-3303
(303) 388-3613

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PDO.1680000068
CO

Other

Enumeration date
09/04/2014
Last updated
09/04/2014
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