Berthoud Drug
LBN: Berthoud Drug, Llc
Berthoud Drug is an health care organization with primary practice located at 1241 Lake Ave , Berthoud CO 80513. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Berthoud Drug, Llc can be contacted via phone (970) 532-2034, or through Jones, Joshua Elijah via phone (970) 532-2034.
Contact Information
Primary practice address
1241 Lake Ave
Berthoud CO 80513
Phone: (970) 532-2034
Fax: (970) 532-4799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0080000001 | Colorado |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1619072972 |
|---|---|
| LBN Legal business name | Berthoud Drug, Llc |
| DBA Doing business as | Berthoud Drug |
| Authorized official | Jones, Joshua Elijah PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jul 16th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619072972 | NPPES |
| Colorado | MEDICAID | 36601365 | |
| Colorado | Other | 2000864 |
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