| NPI | 1457478992 |
|---|---|
| Doing Business As | PENCOL COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARSHALL DALE TOBIN Owner Pharmacist 303-388-3613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CO 154) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-12-27 |