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Contact Information

PHARMACA INTEGRATIVE PHARMACY, INC.
1647 PEARL STREET
BOULDER, CO80302
 Phone: 303-442-5164
 Fax: 303-939-9388
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PHARMACA INTEGRATIVE PHARMACY, INC.

NPI Number 1235150285
LBN Legal business name PHARMACA INTEGRATIVE PHARMACY, INC.
Authorized official GREG LEGORE - (DIRECTOR OF PHARMACY OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/22/2006
Last updated 08/03/2018 - About 8 years ago
Identifiers
CO License # 90000004
CO Medicaid 58-322272
CO Medicaid 58322272
Other 0601787 OTHER ID NUMBER
Other 0601787 OTHER ID NUMBER-COMMERCIAL NUMBER
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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