Organization
PRESTINE PHARMACIES INC
Active
Other names
WOODRIDGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSEL PEPPER (PRESIDENT)
(303) 237-2717
Entity
Organization
Contact information
Practice address
2020 WADSWORTH BLVD, LAKEWOOD, CO 80214-5728
(303) 237-2717
(303) 237-2718
Mailing address
2020 WADSWORTH BLVD, LAKEWOOD, CO 80214-5728
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
CO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03965159
—
CO
01
—
0601371
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/04/2006
Last updated
09/11/2025
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