Organization
GOOSE CREEK PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON KOST (PHARMACIST-OWNER)
(303) 440-4200
Entity
Organization
Contact information
Practice address
2880 FOLSOM ST, BOULDER, CO 80304-3739
(303) 440-4200
Mailing address
7490 MOUNT MEEKER RD, LONGMONT, CO 80503-7143
(303) 530-3531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11832
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03357159
—
CO
Enumeration date
01/12/2007
Last updated
08/22/2020
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