La Jara Pharmaceutical Center, Inc.
LBN: La Jara Pharmaceutical Center, Inc.
La Jara Pharmaceutical Center, Inc. is an health care organization with primary practice located at 412 Main Street , La Jara CO 81140. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
La Jara Pharmaceutical Center, Inc. can be contacted via phone (719) 274-5109, or through Valdez, Joseph Thomas via phone (719) 274-5109.
Contact Information
Primary practice address
412 Main Street
La Jara CO 81140
Phone: (719) 274-5109
Fax: (719) 274-4246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | AL7908114 | Colorado |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AL7908114 | Colorado |
Profile Details
| NPI number | 1346336997 |
|---|---|
| LBN Legal business name | La Jara Pharmaceutical Center, Inc. |
| DBA Doing business as | |
| Authorized official | Valdez, Joseph Thomas RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Apr 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346336997 | NPPES |
| Colorado | MEDICAID | 03498474 | |
| Colorado | Other | 1346336997 |
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