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Mark Debolt
Pharmacist in Canon City, Colorado
NPI 1659671154

Mark Debolt is a Pharmacist based in Canon City, CO. Mark Debolt practices in Canon City, CO. The NPI Number for Mark Debolt is 1659671154 and holds a License No. 16607 (Colorado).

The current practice location address for Mark Debolt is 1414 Main St, Canon City, CO and can be reached out via phone at 719-275-7511 and via fax at 719-275-7161.

Location: 1414 Main St, Canon City, CO, 81212-3906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659671154
Provider Name
Mark Debolt
Credential
Provider Entity Type
Individual
Gender
Male
Address
1414 Main St, Canon City, CO, 81212-3906
Phone Number
719-275-7511
Fax Number
719-275-7161
Provider Enumeration Date
10/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1414 Main St
City
Canon City
State
Colorado
Zip
81212-3906
Phone Number
719-275-7511
Fax Number
719-275-7161
person
Provider Business Mailing Address Details
Address
1414 Main St
City
Canon City
State
Colorado
Zip
81212-3906
Phone Number
719-275-7511
Fax Number
719-275-7161
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
16607 (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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