Pdc Pharmacy Colorado, Inc
LBN: Pdc Pharmacy Colorado Inc
Pdc Pharmacy Colorado, Inc is an health care organization with primary practice located at 4665 Nautilus Ct S Ste 101 , Boulder CO 80301-3263. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Pdc Pharmacy Colorado Inc can be contacted via phone (303) 530-1188, or through Funkhouser, Christina via phone (412) 820-1010.
Contact Information
Primary practice address
4665 Nautilus Ct S Ste 101
Boulder CO 80301-3263
Phone: (303) 530-1188
Fax: (303) 530-1151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PDO-0000000799 | Colorado |
Profile Details
| NPI number | 1831418581 |
|---|---|
| LBN Legal business name | Pdc Pharmacy Colorado Inc |
| DBA Doing business as | Pdc Pharmacy Colorado, Inc |
| Authorized official | Funkhouser, Christina |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2010 |
| Last updated | Dec 24th, 2018 - 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 | 1831418581 | NPPES |
| Colorado | MEDICAID | 31522548 | |
| Colorado | Other | 2125117 |
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