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Contact Information

1200 MADISON SREET INC
1200 MADISON ST
DENVER, CO80206-3440
 Phone: 303-388-3679
 Fax: 303-393-7604
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for 1200 MADISON SREET INC

NPI Number 1649215864
LBN Legal business name 1200 MADISON SREET INC
Authorized official JIT DHALIWAL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2006
Last updated 02/07/2011 - About 15 years ago
Identifiers
CO License # PDO30
CO Medicaid 62103571
Other 0601496 NCPDP PROVIDER IDENTIFICATION 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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