Dennis Mortensen
LBN: Peoples Drug Store
Dennis Mortensen is an health care organization with primary practice located at 327 Main St , Antonito CO 81120. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Peoples Drug Store can be contacted via phone (719) 376-5450, or through Mortensen, Dennis via phone (719) 376-5450.
Contact Information
Primary practice address
327 Main St
Antonito CO 81120
Phone: (719) 376-5450
Fax: (719) 376-6362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 30000002 | Colorado |
Profile Details
| NPI number | 1952431694 |
|---|---|
| LBN Legal business name | Peoples Drug Store |
| DBA Doing business as | Dennis Mortensen |
| Authorized official | Mortensen, Dennis |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Nov 29th, 2007 - 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 | 1952431694 | NPPES |
| Colorado | MEDICAID | 03664117 | |
| Colorado | Other | 0601573 | |
| Colorado | Other | 0601573 |
Popular Providers
-
Auburn Pharmacy Inc
1020 Elmhurst Blvd , Concordia KS 66901 -
Butler Pharmacy Inc
11 S Orange St , Butler MO 64730-1805 -
Turenne Pharmedco, Inc.
355 Industrial Park Blvd , Montgomery AL 36117-5550 -
Dap Inc
1101 Main St , Hilton Head Island SC 29926-1624 -
Best Med Inc
116 S Park Dr , Brownwood TX 76801-5918 -
Modernhealth Holdings Inc
110 E Huntington Dr , Monrovia CA 91016-3415 -
Allied Pharmaceutical Service Inc
1201 Seven Locks Rd Suite 203, Rockville MD 20854-2931 -
Ijak-Uyire Inc
77 02 21St Ave , Jackson Heights NY 11370-1219