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Contact Information

KREMMLING MERCANTILE LLC
101 MARTIN WAY
KREMMLING, CO80459
 Phone: 970-724-3205
 Fax: 970-724-3225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KREMMLING MERCANTILE LLC

NPI Number 1376608562
LBN Legal business name KREMMLING MERCANTILE LLC
Authorized official KAREN HAMMER - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2006
Last updated 01/18/2017 - About 9 years ago
Identifiers
CO License # 623
CO Medicaid 28929039
Other 2003836 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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