Nicholas Mack is a Pharmacist based in Aurora, CO. Nicholas Mack practices in Thornton, CO. The NPI Number for Nicholas Mack is 1356764526 and holds a License No. 20043 (Colorado).
The current practice location address for Nicholas Mack is 750 E 104Th Ave, Thornton, CO and can be reached out via phone at 303-452-8661.
Location: 750 E 104Th Ave, Thornton, CO, 80045-7419
Provider Profile Details
NPI Number
1356764526
Provider Name
Nicholas Mack
Credential
Provider Entity Type
Individual
Gender
Male
Address
750 E 104Th Ave, Thornton, CO, 80045-7419
Phone Number
303-452-8661
Fax Number
Provider Enumeration Date
01/23/2014
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020043 | 01 | CO | COLORADO STATE BOARD OF PHARMACY |
Provider Business Practice Location Address Details
Address
750 E 104Th Ave
City
State
Zip
80233-4317
Phone Number
303-452-8661
Fax Number
Provider Business Mailing Address Details
Address
750 E 104Th Ave
City
State
Zip
80233-4317
Phone Number
303-452-8661
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
20043 (Colorado)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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