Ivywild Pharmacy

LBN: Bethel Business Llc
Ivywild Pharmacy is an health care organization with primary practice located at 311 S Nevada Ave , Colorado Springs CO 80903-2107. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bethel Business Llc can be contacted via phone (719) 634-5541, or through Bethel, Lawrence via phone (719) 547-7557.

Contact Information

Primary practice address
311 S Nevada Ave Colorado Springs CO 80903-2107
Phone: (719) 634-5541
Fax: (719) 634-0692
Website:
Map and Directions
Authorized official contact:
Name: Bethel, Lawrence RPH
Phone: (719) 547-7557

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PDO0240000019 Colorado
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1568483519
LBN Legal business name Bethel Business Llc
DBA Doing business as Ivywild Pharmacy
Authorized official Bethel, Lawrence RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Feb 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568483519 NPPES
Colorado MEDICAID 64108066
Colorado MEDICAID 03380508
Colorado Other 2140939

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