Mark Debolt, - Pharmacist in Canon City, CO

Mark Debolt, is a Pharmacist based in Canon City, Colorado. Mark Debolt is licensed to practice in Colorado (license number 16607) and his current practice location is 1414 Main St, Canon City, Colorado. He can be reached at his office (for appointments etc.) via phone at (719) 275-7511.

NPI number for Mark Debolt is 1659671154 and his current mailing address is 1414 Main St, Canon City, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659671154.

Contact Information

Mark Debolt,
1414 Main St,
Canon City, CO 81212-3906
(719) 275-7511
(719) 275-7161

Healthcare Provider's Profile

Full NameMark Debolt
GenderMale
SpecialityPharmacist
Location1414 Main St, Canon City, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659671154
  • Provider Enumeration Date: 10/30/2010
  • Last Update Date: 10/30/2010

Medical Identifiers

Medical identifiers for Mark Debolt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659671154NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 16607 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Debolt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Debolt,
1414 Main St,
Canon City, CO 81212-3906

Ph: (719) 275-7511
Mark Debolt,
1414 Main St,
Canon City, CO 81212-3906

Ph: (719) 275-7511

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› Verified 8 days ago


Pharmacist in Canon City, CO

Dr. Alicia Hurst, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 3105 E Hwy 50, Canon City, CO 81212
Phone: 719-275-1641    
Nathan Cruz, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1414 Main St, Canon City, CO 81212
Phone: 719-275-7511    Fax: 719-275-7161
Brielle M Larsen,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1609 Fremont Dr, Canon City, CO 81212
Phone: 719-275-1267    
Daniel Allen,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1609 Fremont Dr, Canon City, CO 81212
Phone: 719-274-1267    
Dr. William A Shelver, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 601 Main St, Canon City, CO 81212
Phone: 719-275-3375    Fax: 719-275-4756
Mr. Kent Goulding Johnson, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1414 Main St, Canon City, CO 81212
Phone: 719-275-5221    
Jon Steven Atwood, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1414 Main St, Canon City, CO 81212
Phone: 719-275-7511    Fax: 719-275-7161

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