Pharmaca Integrative Pharmacy, Inc.

LBN: Pharmaca Integrative Pharmacy, Inc.
Pharmaca Integrative Pharmacy, Inc. is an health care organization with primary practice located at 1647 Pearl Street , Boulder CO 80302. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pharmaca Integrative Pharmacy, Inc. can be contacted via phone (303) 442-5164, or through Legore, Greg via phone (805) 217-9926.

Contact Information

Primary practice address
1647 Pearl Street Boulder CO 80302
Fax: (303) 939-9388
Website:
Authorized official contact:
Name: Legore, Greg

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 90000004 Colorado

Profile Details

NPI number 1235150285
LBN Legal business name Pharmaca Integrative Pharmacy, Inc.
DBA Doing business as
Authorized official Legore, Greg
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Aug 3rd, 2018 - about 7 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 1235150285 NPPES
Other 0601787 OTHER ID NUMBER
MEDICAID 58322272 OTHER ID NUMBER
MEDICAID 58-322272 OTHER ID NUMBER
Other 0601787 OTHER ID NUMBER

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