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Contact Information

PROFESSIONAL PHARMACY SERVICES
4775 LARIMER PARKWAY
JOHNSTOWN, CO80534-9021
 Phone: 970-461-9101
 Fax: 970-461-9089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PROFESSIONAL PHARMACY SERVICES

NPI Number 1750321402
LBN Legal business name PROFESSIONAL PHARMACY SERVICES
Authorized official VICKI EINHELLIG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2006
Last updated 11/19/2015 - About 11 years ago
Identifiers
CO License # 513
CO Medicaid 62100343
Other 0618465 OTHER ID NUMBER
Other 0618465 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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