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Organization

COAST TO COAST COMPOUNDING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WENDI SCHMID PHARMD (PHARMACY MANAGER/OWNER)
(303) 237-4478
Entity
Organization

Contact information

Practice address
780 SIMMS ST, SUITE 103, GOLDEN, CO 80401-4725
(303) 237-4478
Mailing address
780 SIMMS ST, SUITE 103, GOLDEN, CO 80401-4725

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1680000020
CO

Other

Enumeration date
01/03/2013
Last updated
01/03/2013
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