Healthcare Provider Details

I. General information

NPI: 1134561749
Provider Name (Legal Business Name): PEAK RX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 09/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S PERRY ST STE 100
CASTLE ROCK CO
80104-1924
US

IV. Provider business mailing address

801 S PERRY ST SUITE 100
CASTLE ROCK CO
80104-1924
US

V. Phone/Fax

Practice location:
  • Phone: 303-539-0390
  • Fax:
Mailing address:
  • Phone: 303-539-0390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1680000036
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KARYN HEMPHILL
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 303-539-0390