Cedaredge Pharmacy Inc.

LBN: Cedaredge Pharmacy Inc.
Cedaredge Pharmacy Inc. is an health care organization with primary practice located at 215 W. Main St , Cedaredge CO 81413. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Cedaredge Pharmacy Inc. can be contacted via phone (970) 856-3161, or through Breitnauer, John George via phone (970) 856-3161.

Contact Information

Primary practice address
215 W. Main St Cedaredge CO 81413
Phone: (970) 856-3161
Fax: (970) 856-3021
Website:
Map and Directions
Authorized official contact:
Name: Breitnauer, John George RPH
Phone: (970) 856-3161

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 20-1 Colorado
Suppliers / Community/Retail Pharmacy 3336C0003X PDOI200000001 Colorado

Profile Details

NPI number 1194897447
LBN Legal business name Cedaredge Pharmacy Inc.
DBA Doing business as
Authorized official Breitnauer, John George RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Feb 14th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194897447 NPPES
Colorado MEDICAID 03000494

Popular Providers