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General NPI Number Information
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NPI Number | 1831418581
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Entity Type | Organization
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Legal Business Name | PDC PHARMACY COLORADO INC
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 4665 NAUTILUS CT S STE 101
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City | BOULDER
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State | CO
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Zip | 80301-3263
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Country | US
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Telephone | 303-530-1188
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Fax | 303-530-1151
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Provider Business Mailing Address
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Address Line | 4665 NAUTILUS CT S SUITE 101
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City | BOULDER
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State | CO
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Zip | 80301-3262
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Country | US
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Telephone | 303-530-1188
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Fax | 303-530-1151
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Authorized Official
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Title or Position | CEO AND PRESIDENT
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Name | RICK D. SENFT
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Credential |
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Telephone | 412-820-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PDO-0000000799
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License Number State | CO
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