Healthcare Provider Details

I. General information

NPI: 1275437873
Provider Name (Legal Business Name): MOUNTAIN TOP RX PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 EAST COLORADO AVE #201A
TELLURIDE CO
81435
US

IV. Provider business mailing address

101 EAST COLORADO AVE #201A
TELLURIDE CO
81435
US

V. Phone/Fax

Practice location:
  • Phone: 205-382-1818
  • Fax:
Mailing address:
  • Phone: 205-382-1818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ASHLEY OAKES PARRISH
Title or Position: OWNER
Credential: PHARMD
Phone: 205-382-1818