San Luis Valley Pharmacy Llc
LBN: Jerry P Archuleta Sanluis Pharmacy Llc
San Luis Valley Pharmacy Llc is an health care organization with primary practice located at 2431 Main St Ste 5, Alamosa CO 81101-4273. 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 / Mail Order Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Jerry P Archuleta Sanluis Pharmacy Llc can be contacted via phone (719) 587-3039, or through Archuleka, Jerry via phone (719) 587-3039.
Contact Information
Primary practice address
2431 Main St Ste 5
Alamosa CO 81101-4273
Phone: (719) 587-3039
Fax: (719) 587-2164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | PDO20000022 | Colorado |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1437223955 |
|---|---|
| LBN Legal business name | Jerry P Archuleta Sanluis Pharmacy Llc |
| DBA Doing business as | San Luis Valley Pharmacy Llc |
| Authorized official | Archuleka, Jerry |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Feb 6th, 2008 - about 18 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 | 1437223955 | NPPES |
| Other | 0618326 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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