Provider Demographics
NPI:1194549584
Name:CENTAUR PHARMACY
Entity type:Organization
Organization Name:CENTAUR PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MADELEINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SRNKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-628-2110
Mailing Address - Street 1:1285 CENTAUR VILLAGE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-1231
Mailing Address - Country:US
Mailing Address - Phone:303-628-2100
Mailing Address - Fax:303-628-2105
Practice Address - Street 1:1285 CENTAUR VILLAGE DR STE 100
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-1231
Practice Address - Country:US
Practice Address - Phone:303-628-2100
Practice Address - Fax:303-628-2105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy