Healthcare Provider Details

I. General information

NPI: 1518262898
Provider Name (Legal Business Name): COLFAX DRUG COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2011
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 DEPOT ST. #5
COLFAX CA
95713
US

IV. Provider business mailing address

6089 BIG BEND DR.
ROSEVILLE CA
95678
US

V. Phone/Fax

Practice location:
  • Phone: 916-298-5498
  • Fax:
Mailing address:
  • Phone: 916-298-5498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. AENEAS CHANCE
Title or Position: PHARMACIST/OWNER
Credential: PHARM.D./OWNER
Phone: 916-298-5498