Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bob Edward Mandernack, PPH

Individual provider Pharmacist · NPI 1780649145

Mr. Bob Edward Mandernack, PPH is a Pharmacist in Greenwood Village, Colorado. Licensed in California and Idaho. Registered with an NPI since 2006.

Licensed in
CA, ID
In the registry since
2006
Specialties on file
2

Practice location Address checks out

6061 S Willow Dr
Greenwood Village, CO 80111-5103
Phone: (877) 839-8121
Fax: (877) 289-0617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 13062 (CA)
Pharmacist Taxonomy 183500000X (ID)

Record details

NPI number1780649145
Entity typeIndividual (Type 1)
GenderMale
Credentials PPH
Sole proprietorNo
NPI enumeratedApril 19, 2006
Last updated in NPPESJuly 13, 2026

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