Organization
JOSTA INC
Active
Other names
SKY RIDGE COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN M FINSTROM RPH (PHARMACIST)
(303) 468-0303
Entity
Organization
Contact information
Practice address
10103 RIDGEGATE PKWY, #117B, LONE TREE, CO 80124-5520
(303) 468-0303
(303) 468-0306
Mailing address
10103 RIDGEGATE PKWY, #117B, LONE TREE, CO 80124-5520
(303) 468-0303
(303) 468-0306
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12218
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618516
NCPDP
CO
Enumeration date
09/22/2006
Last updated
08/22/2020
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