Healthcare Provider Details

I. General information

NPI: 1023242013
Provider Name (Legal Business Name): GREGORY PALMROSE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2009
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4102 PINION DR UNIT 100
USAF ACADEMY CO
80840-2502
US

IV. Provider business mailing address

4945 MUSHROOM ROCK CT
COLORADO SPRINGS CO
80924-2904
US

V. Phone/Fax

Practice location:
  • Phone: 719-333-5528
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA.0017348
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: