| Organization Name: | ROCKY MT PHCY OF ESTES PARK |
| NPI Number: | 1508937517 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREG BARTON (PRES) |
| Mailing Address: | 455 E Wonder View Ave # B1 Estes Park |
| State: | CO US |
| Postal Code: | 805179647 |
| Phone Number: | 9705861930 |
| Fax Number: | 9705860455 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 05/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Compounding Pharmacy |
| Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |