Medly Pharmacy

LBN: Pharmaca Integrative Pharmacy, Inc.
Medly Pharmacy is an health care organization with primary practice located at 2700 Broadway St , Boulder CO 80304. 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. Pharmaca Integrative Pharmacy, Inc. can be contacted via phone (303) 442-1972, or through Farrell, Alison via phone (717) 254-9011.

Contact Information

Primary practice address
2700 Broadway St Boulder CO 80304
Phone: (303) 442-1972
Fax: (303) 442-0098
Website:
Map and Directions
Authorized official contact:
Name: Farrell, Alison
Phone: (717) 254-9011

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 90000015 Colorado

Profile Details

NPI number 1528121910
LBN Legal business name Pharmaca Integrative Pharmacy, Inc.
DBA Doing business as Medly Pharmacy
Authorized official Farrell, Alison
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Apr 19th, 2022 - about 4 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 1528121910 NPPES
Other 0601802 OTHER ID NUMBER
MEDICAID 68954379 OTHER ID NUMBER

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