Organization
COLLEGE PHARMACY, INC. ANT
Active
Other names
College Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM WILLIAM BADER R.PH. (OWNER/ PHARMACIST-IN-CHARGE)
(719) 262-0022
Entity
Organization
Contact information
Practice address
4217 S NEW HOP RD, SUITE 101, GASTONIA, NC 28056
(866) 828-8203
Mailing address
3505 AUSTIN BLUFFS PKWY, SUITE 101, COLORADO SPRINGS, CO 80918-5702
(719) 262-0022
(719) 262-0035
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
08788
NC
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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