Organization
JOSEPH C RUSKIN ENTERPRISES INC
Active
Other names
PIKES PEAK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY TREAT INTERN (PHARMACY MANAGER)
(719) 447-9900
Entity
Organization
Contact information
Practice address
2504 E PIKES PEAK AVE STE 106, COLORADO SPRINGS, CO 80909-7039
(719) 447-9900
(719) 447-9922
Mailing address
2504 E PIKES PEAK AVE STE 106, COLORADO SPRINGS, CO 80909-7039
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
612
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619506
OTHER ID NUMBER
—
05
—
69457212
—
CO
Enumeration date
03/01/2007
Last updated
10/16/2007
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