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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 Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COLORADO STATE UNIVERSITY

NPI Number 1871519918
LBN Legal business name COLORADO STATE UNIVERSITY
Authorized official MICHELE BROWN - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2006
Last updated 11/17/2025 - About 7 months ago
Identifiers
CO License # PDO0990000010
CO Medicaid 25929763
Other 2001415 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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