Grace Health Pharmacy

LBN: Grace Health Pharmacy
Grace Health Pharmacy is an health care organization with primary practice located at 3191 S Vaughn Way Unit 102 Unit 102, Aurora CO 80014-3505. 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. Grace Health Pharmacy can be contacted via phone (720) 748-2449, or through Koerner, Paul via phone (720) 748-2449.

Contact Information

Primary practice address
3191 S Vaughn Way Unit 102 Unit 102 Aurora CO 80014-3505
Phone: (720) 748-2449
Fax: (720) 748-5324
Website:
Map and Directions
Authorized official contact:
Name: Koerner, Paul
Phone: (720) 748-2449

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1680000031 Colorado
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1366889115
LBN Legal business name Grace Health Pharmacy
DBA Doing business as Grace Health Pharmacy
Authorized official Koerner, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2013
Last updated Jun 7th, 2022 - about 4 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 1366889115 NPPES
Other 2140370 PK
MEDICAID 21004820 PK

Popular Providers