National Provider Identifier Database

COLORADO STATE UNIVERSITY
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

COLORADO STATE UNIVERSITY
151 W LAKE ST SUITE 1100
COLORADO STATE UNIVERSITY
FORT COLLINS, CO80523-8031
Phone: 970-491-1402
Fax: 970-491-4874
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for COLORADO STATE UNIVERSITY

NPI Number 1871519918
Legal business name
LBN
COLORADO STATE UNIVERSITY
Authorized official MICHELE BROWN - (PHARMACY MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/14/2006
Last updated 11/17/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: PDO0990000010
  • CO Medicaid: 25929763
  • Other: 2001415 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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