Sky Ridge Pharmacy

LBN: Listco Inc
Sky Ridge Pharmacy is an health care organization with primary practice located at 10103 Ridgegate Pkwy Ste 117A, Lone Tree CO 80124-5520. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Listco Inc can be contacted via phone (303) 468-0300, or through Eskanos, Scott via phone (303) 468-0300.

Contact Information

Primary practice address
10103 Ridgegate Pkwy Ste 117A Lone Tree CO 80124-5520
Phone: (303) 468-0300
Fax: (303) 468-0307
Website:
Map and Directions
Authorized official contact:
Name: Eskanos, Scott
Phone: (303) 468-0300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 514 Colorado

Profile Details

NPI number 1477565703
LBN Legal business name Listco Inc
DBA Doing business as Sky Ridge Pharmacy
Authorized official Eskanos, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2016 - about 10 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 1477565703 NPPES
Other 2003524 PK
MEDICAID 61224863 PK

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