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Contact Information

PAMIDA STORES OPERATING CO., LLC
118 SOUTH INTEROCEAN AVE
HOLYOKE, CO80734
 Phone: 970-854-3400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for PAMIDA STORES OPERATING CO., LLC

NPI # 1952574105
LBN Legal business name PAMIDA STORES OPERATING CO., LLC
Authorized official JOHN HARLOW - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/09/2008
Last updated 11/23/2009 - About 17 years ago
Identifiers
CO License # PDO-620000001
CO Medicaid 44437323
NE Medicaid 10025658900
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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