Organization
JEFFERSON CENTER FOR MENTAL HEALTH
Active
Organization
JEFFERSON CENTER FOR MENTAL HEALTH
Active
Other names
BLUE SPRUCE PHARMACY, Jefferson Center for Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW VANDER KOOI PHARMD (PHARMACY DIRECTOR)
(303) 432-5926
Entity
Organization
Contact information
Practice address
9485 W COLFAX AVE, LAKEWOOD, CO 80215-3918
(303) 432-5925
(303) 432-5935
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 432-5925
(303) 432-5935
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
622
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003835
PK
—
05
—
62024566
—
CO
Enumeration date
10/20/2006
Last updated
10/20/2025
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