Healthcare Provider Details

I. General information

NPI: 1124294525
Provider Name (Legal Business Name): GEORGE DAMIEN MCGOFF PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2008
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 HWY 287
BROOMFIELD CO
80020-7001
US

IV. Provider business mailing address

1150 HWY 287
BROOMFIELD CO
80020-7001
US

V. Phone/Fax

Practice location:
  • Phone: 303-439-9040
  • Fax: 303-439-9686
Mailing address:
  • Phone: 303-439-9040
  • Fax: 303-439-9686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number16796
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: