Rio Grande Pharmacy

LBN: Rio Grande Pharmacy Llc
Rio Grande Pharmacy is an health care organization with primary practice located at 650 Grand Ave , Del Norte CO 81132-2206. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Rio Grande Pharmacy Llc can be contacted via phone (719) 657-3513, or through Campbell, Angelia via phone (719) 657-3513.

Contact Information

Primary practice address
650 Grand Ave Del Norte CO 81132-2206
Phone: (719) 657-3513
Fax: (719) 657-3845
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Angelia PHARMD
Phone: (719) 657-3513

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 280000001 Colorado

Profile Details

NPI number 1396037867
LBN Legal business name Rio Grande Pharmacy Llc
DBA Doing business as Rio Grande Pharmacy
Authorized official Campbell, Angelia PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2011
Last updated Jan 18th, 2017 - about 9 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 1396037867 NPPES
Other 2130147 PK
MEDICAID 35078243 PK

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