Healthcare Provider Details

I. General information

NPI: 1831418581
Provider Name (Legal Business Name): PDC PHARMACY COLORADO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2010
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4665 NAUTILUS CT S STE 101
BOULDER CO
80301-3263
US

IV. Provider business mailing address

4665 NAUTILUS CT S SUITE 101
BOULDER CO
80301-3262
US

V. Phone/Fax

Practice location:
  • Phone: 303-530-1188
  • Fax: 303-530-1151
Mailing address:
  • Phone: 303-530-1188
  • Fax: 303-530-1151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPDO-0000000799
License Number StateCO

VIII. Authorized Official

Name: RICK D. SENFT
Title or Position: CEO AND PRESIDENT
Credential:
Phone: 412-820-1010